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WANAQUE CONVALESCENT CENTER

Nursing Care, Pediatric

Haskell, New Jersey

Provider NPI: 1841351541

Organization Information:
Organization Name:  WANAQUE CONVALESCENT CENTER


Practice Location:
1433 RINGWOOD AVE  HASKELL, NJ 07420 US
Tel: 973-839-2119  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3140N1450XNursing & Custodial Care Facilities
Skilled Nursing Facility
Nursing Care, Pediatric
NJ061628

Other Provider Identifiers:

IssuerNumberStateType
01057345NY05
4496001NJ05
01292924NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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