11 HISTORY LANE OPERATING COMPANY, LLC

NPI: 1932108693 · Organization · Active

Primary Specialty

Skilled Nursing Facility

Practice Location

11 HISTORY LANE
JACKSON, NJ 08527 Map ↗
Phone: 732-367-6600
Fax: 732-905-9641

All Specialties & Licenses

  • Skilled Nursing Facility Primary
  • Respite Care (license: 0088447, NJ)

NPI Registration

Enumerated: 2005-07-15

Last CMS Update: 2015-08-13