| NPI | 1952319535 |
|---|---|
| Doing Business As | PROVIDENCE NURSING & REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | FISCHEL RISPLER Member 201-488-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NJ 061101) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |