# FOREST GLEN REHABILITATION AND HEALTHCARE CENTER LLC

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

## Provider details

- **NPI number:** 1710804612
- **Authorized official:** KEVIN DAUBENMIRE (MEDICARE AUTHORIZED OFFICIAL)
- **Authorized official phone:** (732) 730-7360

## Contact information

- **Practice address:** 2165 MONTEGO DR, SPRINGFIELD, OH 45503-6465
- **Practice address phone:** (937) 390-9913
- **Mailing address:** 229 ROUTE 70 FL 2, TOMS RIVER, NJ 08755-1026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2026
- **Last updated:** 07/01/2026