Wanaque Convalescent Center
Wanaque Convalescent Center is a health care provider in Haskell, NJ. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 1433 Ringwood Ave, Haskell, NJ 07420-1520, US |
|Practice Location Phone||973-839-2119|
|Practice Location Fax||973-839-5155|
|Legal Business Name||WANAQUE CONVALESCENT CENTER|
|Enumeration Date ? ||Dec 13, 2006|
|Last Update Date ? ||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Wanaque Convalescent Center
|Specialty||Provider Type||Specialization||License||License State|
|Skilled Nursing Facility||Nursing & Custodial Care Facilities||Nursing Care, Pediatric ||061628||New Jersey|
Legacy Provider IDs of Wanaque Convalescent Center
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Wanaque Convalescent Center
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Wanaque Convalescent Center's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Robert J Sall|
|Authorized Official Title/Position||CEO|
|Authorized Official Phone Number||856-663-4044|