Organization · Type 2 NPI

Sr-73 and Lakeside Avenue Operations LLC

Skilled Nursing Facility · Voorhees, NJ

NPI number 1063763464 Active

Practice location

113 Route 73
Voorhees, NJ 08043-9573

Fax (610) 347-4098

Mailing address

101 E State St
Kennett Square, PA 19348-3109

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1063763464

Sr-73 and Lakeside Avenue Operations LLC's National Provider Identifier is 1063763464, issued on Sep 25, 2012. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Voorhees, NJ. The record was last updated on Mar 19, 2013.