# KING MANOR REHAB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** King Manor Care & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134288244
- **Authorized official:** MR. SHIMON D FALIK LNHA (ADMINISTRATOR)
- **Authorized official phone:** (732) 774-3500

## Contact information

- **Practice address:** 2303 W BANGS AVE, NEPTUNE, NJ 07753-4111
- **Practice address phone:** (732) 774-3500
- **Practice address fax:** (732) 774-5481
- **Mailing address:** 2303 W BANGS AVE, NEPTUNE, NJ 07753-4111
- **Mailing address phone:** (732) 774-3500
- **Mailing address fax:** (732) 774-5481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 061341 | NJ | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 11/30/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4490509 | — | NJ |
| 01 | — | 5905990001 | MEDICARE NHIC | — |