NPI 1063763464

Sr-73 and Lakeside Avenue Operations LLC

Organisation Skilled Nursing Facility Voorhees, NJ

Practice location

Address: 113 Route 73, Voorhees, NJ 08043-9573
Phone: (610) 925-2009
Fax: (610) 347-4098
Mailing address: 101 E State St, Kennett Square, PA 19348-3109

Authorised official

Name: Jane Dropeskey
Title: Corporate Manager
Phone: (610) 925-4231

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in New Jersey →

Registry record

NPI: 1063763464
Entity type: Organization
NPI issued: 25 Sep 2012
Record last updated: 19 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.