# PRIME REHABILITATION SERVICES, INC

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

## Provider details

- **NPI number:** 1285807602
- **Authorized official:** ROCHEL KROHN OTR (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (732) 901-9386

## Contact information

- **Practice address:** 20 13TH ST, LAKEWOOD, NJ 08701-1979
- **Practice address phone:** (732) 901-9386
- **Mailing address:** 20 13TH ST, LAKEWOOD, NJ 08701-1979
- **Mailing address phone:** (732) 901-9386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NJ | Yes |

## Other

- **Enumeration date:** 04/07/2008
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1530337951-05 | — | NJ |