# GENESIS REHAB SERVICES SOUTHERN OCEAN CENTER

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

## Provider details

- **NPI number:** 1689953085
- **Authorized official:** MARYEL SURRIGA (REHAB MANAGER)
- **Authorized official phone:** (609) 978-0600

## Contact information

- **Practice address:** 1361 ROUTE 72 W, MANAHAWKIN, NJ 08050-2417
- **Practice address phone:** (609) 978-0600
- **Mailing address:** 823 CORAL AVE, LAKEWOOD, NJ 08701-5422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 41YS00652100 | NJ | Yes |

## Other

- **Enumeration date:** 08/16/2011
- **Last updated:** 08/16/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 80269690 | EMPLOYEE IDENTIFICATION NUMBER | — |