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NPI Code Detail

MEDICARE: SL BELLA TERRA

MEDICARE: SL BELLA TERRA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility65A008NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093912727
Entity Type Code : Organization
Provider Name (Legal Business Name) : SL BELLA TERRA
Provider Business Mailing Address
First Line : 2 KATHLEEN DR
Second Line :
City : JACKSON
State : NJ
Zip : 08527-2269
Country : US
Telephone Number : 732-730-9500
Fax Number :
Provider Business Practice Location Address
First Line : 2 KATHLEEN DR
Second Line :
City : JACKSON
State : NJ
Zip : 08527-2269
Country : US
Telephone Number : 732-730-9500
Fax Number :
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : PATRICIA MCDERMOTT
Credential :
Telephone Number : 732-730-9500
Provider Enumeration Date : 06/27/2007
Last Update Date : 10/10/2008

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Directions to “SL BELLA TERRA ” Practice Location

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