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Organization
GREEN HOUSE RESIDENCE CARE AND REHABILITATION CENTER LLC
Active
Organization
GREEN HOUSE RESIDENCE CARE AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL BIRNBAUM (MANAGER)
(718) 650-0219
Entity
Organization
Contact information
Practice address
1010 E 33RD ST, BALTIMORE, MD 21218-3780
(410) 554-9890
Mailing address
585 PROSPECT ST STE 304, LAKEWOOD, NJ 08701-5073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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