Healthcare Provider Details
I. General information
NPI: 1528054962
Provider Name (Legal Business Name): CAPE MAY FUNDING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2005
Last Update Date: 09/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2721 N ROUTE 9
OCEAN VIEW NJ
08230-1055
US
IV. Provider business mailing address
2721 N ROUTE 9
OCEAN VIEW NJ
08230-1055
US
V. Phone/Fax
- Phone: 609-624-3881
- Fax:
- Phone: 609-624-3881
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | 060505 |
| License Number State | NJ |
VIII. Authorized Official
Name:
TAMARA
MORELAND
Title or Position: LNHA
Credential:
Phone: 609-624-3881