# SEACREST VILLAGE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144217662
- **Authorized official:** MR. BRIAN T. HOLLOWAY (PRESIDENT)
- **Authorized official phone:** (609) 296-9292

## Contact information

- **Practice address:** 1001 CENTER ST, LITTLE EGG HARBOR TWP, NJ 08087-1347
- **Practice address phone:** (609) 296-9292
- **Practice address fax:** (609) 296-0508
- **Mailing address:** 1001 CENTER ST, PO BOX 1480, LITTLE EGG HARBOR TWP, NJ 08087-1347
- **Mailing address phone:** (609) 296-9292
- **Mailing address fax:** (609) 296-0508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NJ61522 | NJ | Yes |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0077801 | — | NJ |
| 05 | — | 4494709 | — | NJ |
| 05 | — | 4494717 | — | NJ |