Organization · NPI-2

301 Union Street, LLC

Skilled Nursing Facility · Hackensack, NJ

NPI number1174522833
StatusActive
Last updated in NPPESAug 13, 2015

Details

NPI
1174522833
Entity type
Organization (NPI-2)
Legal business name
301 Union Street, LLC
Organization subpart
No
Enumeration date
Jul 15, 2005
Last updated
Aug 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility060205NJYes
385H00000X Respite Care4464516NJ

Other names

  • Care One At Wellington (Doing Business As)

Practice location

301 Union Street
Hackensack, NJ 07601

Phone 201-487-4900 · Fax 201-487-1741

Mailing address

301 Union Street
Hackensack, NJ 07601

Phone 201-487-4900 · Fax 201-487-1741

Authorized official

A. Alberto Lugo
Executive Vp & General Cousel
2012424000

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