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General NPI Number Information
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NPI Number | 1821077108
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Entity Type | Organization
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Legal Business Name | YOM TOV CONVALESCENT CENTER, INC.
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 100 W MAGNOLIA AVE
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City | MAYWOOD
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State | NJ
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Zip | 07607-1121
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Country | US
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Telephone | 201-843-8411
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Fax | 201-373-8292
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Provider Business Mailing Address
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Address Line | 100 W MAGNOLIA AVE
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City | MAYWOOD
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State | NJ
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Zip | 07607-1121
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Country | US
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Telephone | 201-843-8411
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Fax | 201-373-8292
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SANDRA A OLSHALSKY
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Credential |
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Telephone | 201-843-8411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 60203
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License Number State | NJ
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