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Organization
GENESIS REHAB SERVICES SOUTHERN OCEAN CENTER
Active
Organization
GENESIS REHAB SERVICES SOUTHERN OCEAN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYEL SURRIGA (REHAB MANAGER)
(609) 978-0600
Entity
Organization
Contact information
Practice address
1361 ROUTE 72 W, MANAHAWKIN, NJ 08050-2417
(609) 978-0600
Mailing address
823 CORAL AVE, LAKEWOOD, NJ 08701-5422
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
41YS00652100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80269690
EMPLOYEE IDENTIFICATION NUMBER
—
Enumeration date
08/16/2011
Last updated
08/16/2011
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