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NPI Code Detail

MEDICARE: MILLENNIUM HEALTHCARE CENTERS II, LLC

MEDICARE: MILLENNIUM HEALTHCARE CENTERS II, LLC
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
1314000000XSkilled Nursing FacilityNJ

General Provider Information

NPI Number : 1225037922
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLENNIUM HEALTHCARE CENTERS II, LLC
Provider Business Mailing Address
First Line : 221 COUNTY RD
Second Line :
City : CRESSKILL
State : NJ
Zip : 07626-1605
Country : US
Telephone Number : 201-567-9310
Fax Number : 201-541-9224
Provider Business Practice Location Address
First Line : 221 COUNTY RD
Second Line :
City : CRESSKILL
State : NJ
Zip : 07626-1605
Country : US
Telephone Number : 201-567-9310
Fax Number : 201-541-9224
Authorized Official
Title or Position : EXECUTIVE VP & GENERAL COUNSEL
Name : MR. A. ALBERTO LUGO
Credential :
Telephone Number : 201-242-4000
Provider Enumeration Date : 07/15/2005
Last Update Date : 08/19/2015

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