Provider Demographics
NPI:1922141308
Name:TWIN CEDARS INC.
Entity Type:Organization
Organization Name:TWIN CEDARS INC.
Other - Org Name:TWIN CEDARS ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADELINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:CALA
Authorized Official - Phone:856-468-6824
Mailing Address - Street 1:PO BOX 328
Mailing Address - Street 2:
Mailing Address - City:WENONAH
Mailing Address - State:NJ
Mailing Address - Zip Code:08090-0328
Mailing Address - Country:US
Mailing Address - Phone:856-468-6824
Mailing Address - Fax:856-468-6318
Practice Address - Street 1:1456 GLASSBORO RD
Practice Address - Street 2:
Practice Address - City:WENONAH
Practice Address - State:NJ
Practice Address - Zip Code:08090-1606
Practice Address - Country:US
Practice Address - Phone:856-468-6824
Practice Address - Fax:856-468-6318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ82473310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7621205Medicaid