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Organization
ATLANTIC COAST REHAB & CARE CENTER LLC
Active
Organization
ATLANTIC COAST REHAB & CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVROHOM MAIEROVITS (CONTROLLER)
(732) 364-7100
Entity
Organization
Contact information
Practice address
485 RIVER AVE, LAKEWOOD, NJ 08701-4720
(732) 364-7100
(732) 364-2442
Mailing address
485 RIVER AVE, LAKEWOOD, NJ 08701-4720
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061504
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4495306
—
NJ
01
—
A406796
OXFORD INSURANCE
NJ
Enumeration date
07/05/2005
Last updated
08/14/2012
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