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Montclair Care Center LLC

Skilled Nursing Facility in Montclair, NJ. Organization (NPI-2).

NPI number1407413404
StatusActive
Last updated in NPPESMay 24, 2019

Details

NPI
1407413404
Entity type
Organization (NPI-2)
Legal business name
Montclair Care Center LLC
Organization subpart
No
Enumeration date
May 24, 2019
Last updated
May 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Practice location

111-115 Gates Ave
Montclair, NJ 07042-2500

Phone 973-746-4616

Mailing address

111-115 Gates Ave
Montclair, NJ 07042-2500

Authorized official

Usher Egert
Owner
9737464616

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