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NPI Code Detail

MEDICARE: EASTLAND CENTER FOR LIVING LLC

MEDICARE: EASTLAND CENTER FOR LIVING 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 Facility

General Provider Information

NPI Number : 1669128252
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTLAND CENTER FOR LIVING LLC
Provider Business Mailing Address
First Line : 50 CHESTNUT RIDGE RD STE 107
Second Line :
City : MONTVALE
State : NJ
Zip : 07645-1823
Country : US
Telephone Number : 908-327-6980
Fax Number :
Provider Business Practice Location Address
First Line : 2425 KIMBERLY PKWY E
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-4271
Country : US
Telephone Number : 614-868-9306
Fax Number :
Authorized Official
Title or Position : CFO
Name : MORDECHAI WEISZ
Credential :
Telephone Number : 347-631-4068
Provider Enumeration Date : 02/23/2022
Last Update Date : 12/11/2025

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Directions to “EASTLAND CENTER FOR LIVING LLC ” Practice Location

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