Healthcare Provider Details

I. General information

NPI: 1255360954
Provider Name (Legal Business Name): THE MILLHOUSE NURSING HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 JERSEY ST
TRENTON NJ
08611-3113
US

IV. Provider business mailing address

325 JERSEY ST
TRENTON NJ
08611-3113
US

V. Phone/Fax

Practice location:
  • Phone: 609-394-3400
  • Fax: 609-392-0163
Mailing address:
  • Phone: 609-394-3400
  • Fax: 609-392-0163

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: MR. LEONARD G TRAGER
Title or Position: ADMINISTRATOR
Credential: LNHA
Phone: 609-394-3400