MATHENY SCHOOL AND HOSPITAL
Intermediate Care Facility, Mental Illness
Peapack, New Jersey
Provider NPI: 1366490336
Organization Information:Organization Name: MATHENY SCHOOL AND HOSPITAL
Practice Location:
1467 HIGHLAND AVENUE PEAPACK, NJ 07977 US
Tel: 908-234-0011 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:
1467 HIGHLAND AVENUE PEAPACK, NJ 07977 US
Tel: 908-234-0011 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | NJ | 21801 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4503503 | NJ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin