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NPI Code Detail

MEDICARE: WINDSOR GARDENS CARE CENTER, INC.

MEDICARE: WINDSOR GARDENS CARE CENTER, INC.
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 Facility060722NJ

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 : 1932105376
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINDSOR GARDENS CARE CENTER, INC.
Provider Business Mailing Address
First Line : 100 MCCLELLEN ST
Second Line :
City : NORWOOD
State : NJ
Zip : 07648-1555
Country : US
Telephone Number : 201-767-0100
Fax Number : 201-767-8354
Provider Business Practice Location Address
First Line : 140 PARK AVE
Second Line :
City : EAST ORANGE
State : NJ
Zip : 07017-5248
Country : US
Telephone Number : 973-677-1500
Fax Number : 973-677-1654
Authorized Official
Title or Position : VP FINANCE & CENSUS DEVELOPMENT
Name : MRS. DEBORAH CONDORELLI
Credential :
Telephone Number : 201-767-0100
Provider Enumeration Date : 06/21/2005
Last Update Date : 03/17/2009

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Directions to “WINDSOR GARDENS CARE CENTER, INC. ” Practice Location

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