31D0653116 CLIA NUMBER - GREENWOOD HOUSE HOME FOR JEWISH AGED

Laboratory Demographics

CLIA Number: 31D0653116

Facility Name: GREENWOOD HOUSE HOME FOR JEWISH AGED

Facility Address:
53 WALTER ST
EWING, NJ
ZIP 08628
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Facility Phone Number: 609 883-5391

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1194771568

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	31D0653116
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	GREENWOOD HOUSE HOME FOR JEWISH AGED
Street	53 WALTER ST
City	EWING
State	NJ
ZIP	08628
Phone	609 883-5391
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024