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Organization
BURNT TAVERN REHABILITATION AND HEALTH CARE CTR
Active
Organization
BURNT TAVERN REHABILITATION AND HEALTH CARE CTR
Active
Other names
Burnt Tavern Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS KREIL (ADMINISTRATOR)
(732) 840-3700
Entity
Organization
Contact information
Practice address
1049 BURNT TAVERN RD, BRICK, NJ 08724-1967
(732) 840-3700
(832) 840-0572
Mailing address
1049 BURNT TAVERN RD, BRICK, NJ 08724-1967
(732) 840-3700
(832) 840-0572
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
ZBBGDW
NJ
314000000X
Skilled Nursing Facility
Primary
061518
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4494601
—
NJ
05
—
4494610
—
NJ
05
—
4494628
—
NJ
Enumeration date
05/27/2006
Last updated
11/11/2014
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