Organization · NPI-2
Complete Care At Willow Creek LLC
Nursing Facility/Intermediate Care Facility · Somerset, NJ
NPI number1124648993
StatusActive
Last updated in NPPESApr 22, 2020
Details
- NPI
- 1124648993
- Entity type
- Organization (NPI-2)
- Legal business name
- Complete Care At Willow Creek LLC
- Organization subpart
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- Apr 22, 2020
- Last updated
- Apr 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | – | – | Yes |
Practice location
1165 Easton AveSomerset, NJ 08873-1613
Phone 732-246-4100
Mailing address
1165 Easton AveSomerset, NJ 08873-1613
Phone 732-246-4100
Authorized official
Shalom Stein
Owner
7329663091
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