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NPI Code Detail

MEDICARE: COMPLETE CARE AT WEST CALDWELL LLC

MEDICARE: COMPLETE CARE AT WEST CALDWELL LLC
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 Facility

General Provider Information

NPI Number : 1093496879
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPLETE CARE AT WEST CALDWELL LLC
Provider Business Mailing Address
First Line : 165 FAIRFIELD AVE
Second Line :
City : WEST CALDWELL
State : NJ
Zip : 07006-6414
Country : US
Telephone Number : 973-226-1100
Fax Number :
Provider Business Practice Location Address
First Line : 165 FAIRFIELD AVE
Second Line :
City : WEST CALDWELL
State : NJ
Zip : 07006-6414
Country : US
Telephone Number : 973-226-1100
Fax Number :
Authorized Official
Title or Position : AUTHORIZED SIGNER
Name : SHALOM STEIN
Credential :
Telephone Number : 973-226-1100
Provider Enumeration Date : 07/26/2023
Last Update Date : 07/26/2023

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Directions to “COMPLETE CARE AT WEST CALDWELL LLC ” Practice Location

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