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Contact Information

1420 SOUTH BLACK HORSE PIKE OPERATIONS LLC
1420 S BLACK HORSE PIKE
WILLIAMSTOWN, NJ08094-9130
 Phone: 856-875-0100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for 1420 SOUTH BLACK HORSE PIKE OPERATIONS LLC

NPI # 1730698499
LBN Legal business name 1420 SOUTH BLACK HORSE PIKE OPERATIONS LLC
Authorized official MICHAEL BERG - (VP GEN COUNSEL ASST SECY)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
NJ License # 00000
NJ Other 00000 NON MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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