NPI
County of Gloucester
Doing business as Shady Lane Nursing Home. NPI 1447384680
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-03-16
- Last updated
- 2008-06-24
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Specialties
Licenses
- License NJ
- 060805
Location
- Practice location
- 256 County House Rd
- City
- Clarksboro NJ
- Postal code
- 08020-1395
- Phone
- (856) 423-5318
Organization contact
- Name
- Pete Scaffidi
- Title
- Accountant
- Phone
- (856) 423-5318
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Clarksboro, NJ. 26 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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