Healthcare Provider Details

I. General information

NPI: 1467448803
Provider Name (Legal Business Name): CASCADE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 08/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 MAGNOLIA DR
CAPE MAY COURT HOUSE NJ
08210-2141
US

IV. Provider business mailing address

144 MAGNOLIA DR
CAPE MAY COURT HOUSE NJ
08210-2141
US

V. Phone/Fax

Practice location:
  • Phone: 609-465-7171
  • Fax:
Mailing address:
  • Phone: 609-465-7171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number208300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number060507
License Number StateNJ

VIII. Authorized Official

Name: JENNIFER HESS
Title or Position: LNHA
Credential:
Phone: 605-465-7171