- Enrollment id
- O20100114000454
- Enrollment state
- NJ
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1104965615
- Multiple npi flag
- N
- Ccn
- 315473
- Associate id
- 9335280221
- Organization name
- JEWISH HOME AT ROCKLEIGH
- Incorporation date
- 1996-06-28
- Incorporation state
- NJ
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- JEWISH HOME AT ROCKLEIGH
- Address line 1
- 10 LINK DR
- City
- ROCKLEIGH
- State
- NJ
- Zip code
- 076472504