Provider Demographics
NPI:1952776395
Name:467 COOPER ST OPERATING COMPANY LLC
Entity Type:Organization
Organization Name:467 COOPER ST OPERATING COMPANY LLC
Other - Org Name:ATRIUM POST ACUTE CARE OF WOODBURY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF MARKETING AND BUSINESS DEVELO
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:CHIORELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-351-0295
Mailing Address - Street 1:467 COOPER ST
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-2519
Mailing Address - Country:US
Mailing Address - Phone:856-242-3351
Mailing Address - Fax:
Practice Address - Street 1:467 COOPER ST
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-2519
Practice Address - Country:US
Practice Address - Phone:856-242-3351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-10
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility