12-15 Saddle River Road Operations LLC
Skilled Nursing Facility in Fair Lawn, NJ. Organization (NPI-2).
NPI number1881878171
StatusActive
Last updated in NPPESJun 26, 2025
Details
- NPI
- 1881878171
- Entity type
- Organization (NPI-2)
- Legal business name
- 12-15 Saddle River Road Operations LLC
- Organization subpart
- No
- Enumeration date
- Dec 21, 2007
- Certification date
- Jun 26, 2025
- Last updated
- Jun 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 060224 | NJ | Yes |
Other names
- Maple Glen Center (Doing Business As)
Practice location
12-15 Saddle River RdFair Lawn, NJ 07410-5808
Phone 201-797-9522 · Fax 201-703-0613
Mailing address
101 E State StKennett Square, PA 19348-3109
Phone 610-925-4436 · Fax 610-925-4351
Authorized official
Michael T Berg
Secretary
6104446350
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