- Enrollment id
- O20100115000727
- Enrollment state
- NJ
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1427047232
- Multiple npi flag
- N
- Ccn
- 315376
- Associate id
- 7618887340
- Organization name
- CHRISTIAN HEALTH CARE CENTER
- Incorporation date
- 1935-02-15
- Incorporation state
- NJ
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Nursing home provider name
- CHRISTIAN HEALTH CARE CENTER
- Address line 1
- 301 SICOMAC AVE
- City
- WYCKOFF
- State
- NJ
- Zip code
- 074812159