Provider Demographics
NPI:1417315888
Name:ONE PACK MANAGEMENT CORP
Entity Type:Organization
Organization Name:ONE PACK MANAGEMENT CORP
Other - Org Name:BRIGHTEN GARDENS OF SADDLE RIVER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-818-8680
Mailing Address - Street 1:5 BOROLINE RD
Mailing Address - Street 2:
Mailing Address - City:SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-2343
Mailing Address - Country:US
Mailing Address - Phone:201-818-8680
Mailing Address - Fax:201-818-7875
Practice Address - Street 1:5 BOROLINE RD
Practice Address - Street 2:
Practice Address - City:SADDLE RIVER
Practice Address - State:NJ
Practice Address - Zip Code:07458-2343
Practice Address - Country:US
Practice Address - Phone:201-818-8680
Practice Address - Fax:201-818-7875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ05A002310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility