11 HISTORY LANE OPERATING COMPANY, LLC

Skilled Nursing Facility

Active Organization
NPI: 1932108693

Practice Address

11 HISTORY LANE
Jackson, NJ 08527

Phone: (732) 367-6600

Specialties

Specialty Code Primary License
Respite Care 385H00000X No 0088447 (NJ)
Skilled Nursing Facility 314000000X Yes -

Frequently Asked Questions

NPI 1932108693 is the National Provider Identifier for 11 HISTORY LANE OPERATING COMPANY, LLC, a Skilled Nursing Facility provider located in Jackson, NJ. This NPI was enumerated on July 15, 2005.

Quick Facts

NPI
1932108693
Type
Organization
Enumerated
Jul 15, 2005
Last Updated
Aug 13, 2015

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