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1086 Dumont Circle Opco LLC

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

NPI number1952170342
StatusActive
Last updated in NPPESDec 27, 2023

Details

NPI
1952170342
Entity type
Organization (NPI-2)
Legal business name
1086 Dumont Circle Opco LLC
Organization subpart
No
Enumeration date
Dec 27, 2023
Certification date
Dec 27, 2023
Last updated
Dec 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes
385H00000X Respite Care––
313M00000X Nursing Facility/Intermediate Care Facility––

Other names

  • Autumn Lake Healthcare At Voorhees (Doing Business As)

Practice location

1086 Dumont Cir
Voorhees, NJ 08043-3500

Phone 856-454-9100

Mailing address

14c 53rd St
Brooklyn, NY 11232-2646

Phone 877-567-0402

Authorized official

Sam Stern
Cfo
8775670402

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