- Enrollment id
- O20160516000920
- Enrollment state
- NJ
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1043674526
- Multiple npi flag
- N
- Ccn
- 315335
- Associate id
- 4183913122
- Organization name
- 1120 ALPS ROAD OPERATING COMPANY LLC
- Doing business as name
- ATRIUM POST ACUTE CARE OF WAYNE
- Incorporation date
- 2014-08-18
- Incorporation state
- NJ
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ATRIUM POST ACUTE CARE OF WAYNE
- Address line 1
- 1120 ALPS RD
- Address line 2
- ATRIUM POST ACUTE CARE OF WAYNE
- City
- WAYNE
- State
- NJ
- Zip code
- 074703704