Provider Demographics
NPI:1235330697
Name:COUNTY OF BERGEN - SENIOR CARE CENTER
Entity Type:Organization
Organization Name:COUNTY OF BERGEN - SENIOR CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OPERATIONS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:CONDAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-634-2680
Mailing Address - Street 1:327 EAST RIDGEWOOD AVENUE
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4895
Mailing Address - Country:US
Mailing Address - Phone:201-634-2820
Mailing Address - Fax:201-599-6270
Practice Address - Street 1:327 EAST RIDGEWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4895
Practice Address - Country:US
Practice Address - Phone:201-634-2820
Practice Address - Fax:201-599-6270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care