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Organization
MERIDIAN NURSING AND REHABILITATION INC
Active
Organization
MERIDIAN NURSING AND REHABILITATION INC
Active
Other names
Bayshore Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS A DEYO (DIRECTOR LTC ACCOUNT)
(732) 751-3624
Entity
Organization
Contact information
Practice address
715 N BEERS ST, HOLMDEL, NJ 07733-1503
(732) 847-3000
(732) 847-3794
Mailing address
3349 HWY 138 BLDG C, SUITE A, WALL TOWNSHIP, NJ 07719-9671
(732) 751-3600
(732) 751-3649
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0388033
—
NJ
05
—
4490614
—
NJ
Enumeration date
05/19/2008
Last updated
02/20/2014
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