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Organization
UNIVERSAL REHABILITATION & FITNESS CENTER INC
Active
Organization
UNIVERSAL REHABILITATION & FITNESS CENTER INC
Active
Other names
Universal Institute Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCUDILLO (CHIEF COMPLIANCE OFFICER)
(973) 992-8181
Entity
Organization
Contact information
Practice address
245 ATLANTIC AVE, LONG BRANCH, NJ 07740-7286
(732) 759-8549
Mailing address
15 MICROLAB RD STE 17, LIVINGSTON, NJ 07039-1699
(973) 992-8181
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7340401
—
NJ
Enumeration date
12/21/2015
Last updated
12/21/2015
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