Basic Information
| Provider Information | |||||||||
| NPI: | 1033547161 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ELMWOOD HILLS HEALTHCARE CENTER LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 425 WOODBURY TURNERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BLACKWOOD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080122960 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 425 WOODBURY TURNERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BLACKWOOD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080122960 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563746600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/29/2013 | ||||||||
| LastUpdateDate: | 10/29/2013 | ||||||||
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| AuthorizedOfficialLastName: | FEIGENBAUM | ||||||||
| AuthorizedOfficialFirstName: | ABRAHAM | ||||||||
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| AuthorizedOfficialTitleorPosition: | MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 7323647100 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.