Healthcare Provider Details

I. General information

NPI: 1235330697
Provider Name (Legal Business Name): COUNTY OF BERGEN - SENIOR CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 EAST RIDGEWOOD AVENUE
PARAMUS NJ
07652-4895
US

IV. Provider business mailing address

327 EAST RIDGEWOOD AVENUE
PARAMUS NJ
07652-4895
US

V. Phone/Fax

Practice location:
  • Phone: 201-634-2820
  • Fax: 201-599-6270
Mailing address:
  • Phone: 201-634-2820
  • Fax: 201-599-6270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. GREGORY CONDAL
Title or Position: FISCAL OPERATIONS OFFICER
Credential:
Phone: 201-634-2680