HEBREW OLD AGE CENTER OF ATLANTIC CITY
Assisted Living Facility
Galloway, New Jersey
Provider NPI: 1528052412
Organization Information:Organization Name: HEBREW OLD AGE CENTER OF ATLANTIC CITY
Practice Location:
22 W JIMMIE LEEDS RD GALLOWAY, NJ 08205 US
Tel: 609-404-4848 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
22 W JIMMIE LEEDS RD GALLOWAY, NJ 08205 US
Tel: 609-404-4848 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NJ | O/A 006 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NJ | 030102 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4463102 | NJ | 05 | |
AL | 4463111 | NJ | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin