Healthcare Provider Details

I. General information

NPI: 1588287593
Provider Name (Legal Business Name): COMPLETE CARE AT MORRIS HILLS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2020
Last Update Date: 05/26/2020
Certification Date: 05/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 MADISON AVE
MORRISTOWN NJ
07960-7330
US

IV. Provider business mailing address

77 MADISON AVE
MORRISTOWN NJ
07960-7330
US

V. Phone/Fax

Practice location:
  • Phone: 973-540-9800
  • 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: BENJAMIN KURLAND
Title or Position: AUTHORIZED REPRESENTATIVE
Credential:
Phone: 732-730-3741