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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.

physician-icon Basic Information

Practice Location 1433 Ringwood Ave, Haskell, NJ 07420-1520, US
Practice Location Phone973-839-2119
Practice Location Fax973-839-5155
Legal Business NameWANAQUE CONVALESCENT CENTER
NPI ?1841351541
Entity TypeOrganization
Enumeration Date ? Dec 13, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Wanaque Convalescent Center

SpecialtySpecializationLicenseLicense State
Skilled Nursing FacilityNursing Care, Pediatric 061628New Jersey

legacy-id-icon Legacy Provider IDs of Wanaque Convalescent Center

Provider IdIssuer StateIssuer TypeIssuer
4496001New JerseyMedicaid
01057345New YorkMedicaid
01292924New YorkMedicaid

official-icon 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/PositionCEO
Authorized Official Phone Number856-663-4044