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NPI Code Detail

MEDICARE: COUNTY OF ATLANTIC

MEDICARE: COUNTY OF ATLANTIC
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 Facility060101NJ

General Provider Information

NPI Number : 1376543462
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF ATLANTIC
Provider Business Mailing Address
First Line : 235 DOLPHIN AVE
Second Line :
City : NORTHFIELD
State : NJ
Zip : 08225-2015
Country : US
Telephone Number : 609-645-5955
Fax Number : 609-645-5939
Provider Business Practice Location Address
First Line : 235 DOLPHIN AVE
Second Line :
City : NORTHFIELD
State : NJ
Zip : 08225-2015
Country : US
Telephone Number : 609-645-5955
Fax Number : 609-645-5939
Authorized Official
Title or Position : COMPTROLLER/CFO
Name : MRS. JANE LUGO
Credential : CCFO
Telephone Number : 609-343-2258
Provider Enumeration Date : 07/29/2005
Last Update Date : 05/27/2008

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Directions to “COUNTY OF ATLANTIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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