Organization · NPI-2

Complete Care At Willow Creek LLC

Skilled Nursing Facility · Somerset, NJ

NPI number1295355055
StatusActive
Last updated in NPPESApr 22, 2020

Details

NPI
1295355055
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 codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Practice location

1165 Easton Ave
Somerset, NJ 08873-1613

Phone 732-246-4100

Mailing address

1165 Easton Ave
Somerset, NJ 08873-1613

Phone 732-246-4100

Authorized official

Shalom Stein
Owner
7329663091

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