# ATLANTIC COAST REHAB & CARE CENTER LLC

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

## Provider details

- **NPI number:** 1811994890
- **Authorized official:** AVROHOM MAIEROVITS (CONTROLLER)
- **Authorized official phone:** (732) 364-7100

## Contact information

- **Practice address:** 485 RIVER AVE, LAKEWOOD, NJ 08701-4720
- **Practice address phone:** (732) 364-7100
- **Practice address fax:** (732) 364-2442
- **Mailing address:** 485 RIVER AVE, LAKEWOOD, NJ 08701-4720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 061504 | NJ | Yes |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 08/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4495306 | — | NJ |
| 01 | — | A406796 | OXFORD INSURANCE | NJ |