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NPI Code Detail

MEDICARE: MASONIC CHARITY FOUNDATION OF NEW JERSEY

MEDICARE: MASONIC CHARITY FOUNDATION OF NEW JERSEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility030306 / 103330NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043205859
Entity Type Code : Organization
Provider Name (Legal Business Name) : MASONIC CHARITY FOUNDATION OF NEW JERSEY
Provider Business Mailing Address
First Line : 902 JACKSONVILLE RD
Second Line :
City : BURLINGTON
State : NJ
Zip : 08016-3814
Country : US
Telephone Number : 609-239-3900
Fax Number : 609-386-1199
Provider Business Practice Location Address
First Line : 902 JACKSONVILLE RD
Second Line :
City : BURLINGTON
State : NJ
Zip : 08016-3814
Country : US
Telephone Number : 609-239-3900
Fax Number : 609-386-1199
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. CINDY A SHEMANSKY
Credential : LNHA, RN
Telephone Number : 609-239-3900
Provider Enumeration Date : 09/19/2005
Last Update Date : 11/01/2023

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Directions to “MASONIC CHARITY FOUNDATION OF NEW JERSEY ” Practice Location

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