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Organization
KING MANOR REHAB, LLC
Active
Organization
KING MANOR REHAB, LLC
Active
Other names
King Manor Care & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHIMON D FALIK LNHA (ADMINISTRATOR)
(732) 774-3500
Entity
Organization
Contact information
Practice address
2303 W BANGS AVE, NEPTUNE, NJ 07753-4111
(732) 774-3500
(732) 774-5481
Mailing address
2303 W BANGS AVE, NEPTUNE, NJ 07753-4111
(732) 774-3500
(732) 774-5481
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061341
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4490509
—
NJ
01
—
5905990001
MEDICARE NHIC
—
Enumeration date
12/06/2006
Last updated
11/30/2007
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