Basic Information
Provider Information
NPI: 1144526633
EntityType: 2
ReplacementNPI:  
OrganizationName: WINDSOR INSTITUTE FOR NURSING AND REHABILITATION, LLC
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Mailing Information
Address1: 100 MCCLELLEN ST
Address2:  
City: NORWOOD
State: NJ
PostalCode: 076481555
CountryCode: US
TelephoneNumber: 9732397600
FaxNumber:  
Practice Location
Address1: 1000 GALLOPING HILL RD
Address2:  
City: UNION
State: NJ
PostalCode: 070837989
CountryCode: US
TelephoneNumber: 9732397600
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/01/2011
LastUpdateDate: 02/01/2011
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AuthorizedOfficialLastName: JACOBS
AuthorizedOfficialFirstName: HYMAN
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AuthorizedOfficialTitleorPosition: MEMBER OF LLC
AuthorizedOfficialTelephone: 9732397600
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
314000000X  Y Nursing & Custodial Care FacilitiesSkilled Nursing Facility 

No ID Information.


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