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:
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:
1433 RINGWOOD AVE HASKELL, NJ 07420 US
Tel: 973-839-2119 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | NJ | 061628 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
01057345 | NY | 05 | |
4496001 | NJ | 05 | |
01292924 | NY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin