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1420 South Black Horse Pike Operations Llc
Nursing Facility/Intermediate Care Facility in Williamstown, New Jersey
NPI 1730698499

1420 South Black Horse Pike Operations Llc is a Nursing Facility/Intermediate Care Facility based in Williamstown, NJ. 1420 South Black Horse Pike Operations Llc practices in Williamstown, NJ. The NPI Number for 1420 South Black Horse Pike Operations Llc is 1730698499 and holds a License No. 00000 (New Jersey).

The current practice location address for 1420 South Black Horse Pike Operations Llc is 1420 S Black Horse Pike, Williamstown, NJ and can be reached out via phone at 856-875-0100.

Location: 1420 S Black Horse Pike, Williamstown, NJ, 08094-9130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730698499
Provider Name
1420 South Black Horse Pike Operations Llc
Credential
Provider Entity Type
Organization
Address
1420 S Black Horse Pike, Williamstown, NJ, 08094-9130
Phone Number
856-875-0100
Fax Number
Provider Enumeration Date
09/26/2017
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00000 01 NJ NON MEDICARE
institution
Provider Business Practice Location Address Details
Address
1420 S Black Horse Pike
City
Williamstown
State
New Jersey
Zip
08094-9130
Phone Number
856-875-0100
Fax Number
person
Provider Business Mailing Address Details
Address
1420 S Black Horse Pike
City
Williamstown
State
New Jersey
Zip
08094-9130
Phone Number
856-875-0100
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
00000 (New Jersey)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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