# VIRTUA HEALTH AND REHABILITATION CENTER AT MOUNT. HOLLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VIRTUA HEALTH INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033101795
- **Legal business name:** VIRTUA HEALTH INC.
- **Authorized official:** MR. RICHARD P. MILLER (PRESIDENT/CEO)
- **Authorized official phone:** (856) 355-0004

## Contact information

- **Practice address:** 62 RICHMOND AVE, MT. HOLLY, NJ 08060
- **Practice address phone:** (609) 267-8800
- **Practice address fax:** (609) 914-7878
- **Mailing address:** 20 W STOW RD, STE 8 - ATTENTION: CHRISTINE GORDON, MARLTON, NJ 08053-3160
- **Mailing address phone:** (856) 355-0655
- **Mailing address fax:** (856) 355-0621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060310 | NJ | Yes |

## Other

- **Enumeration date:** 08/18/2005
- **Last updated:** 10/29/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4466403 | — | NJ |