Healthcare Provider Details

I. General information

NPI: 1528440013
Provider Name (Legal Business Name): PREFERRED CARE AT MERCER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2015
Last Update Date: 10/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 PARKWAY AVE
EWING NJ
08628-3008
US

IV. Provider business mailing address

1201 PARKWAY AVE
EWING NJ
08628-3008
US

V. Phone/Fax

Practice location:
  • Phone: 609-882-6900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SAM STERN
Title or Position: CFO
Credential:
Phone: 877-567-0402