# MERIDIAN NURSING AND REHABILITATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bayshore Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891952743
- **Authorized official:** MRS. PHYLLIS A DEYO (DIRECTOR LTC ACCOUNT)
- **Authorized official phone:** (732) 751-3624

## Contact information

- **Practice address:** 715 N BEERS ST, HOLMDEL, NJ 07733-1503
- **Practice address phone:** (732) 847-3000
- **Practice address fax:** (732) 847-3794
- **Mailing address:** 3349 HWY 138 BLDG C, SUITE A, WALL TOWNSHIP, NJ 07719-9671
- **Mailing address phone:** (732) 751-3600
- **Mailing address fax:** (732) 751-3649

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 02/20/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0388033 | — | NJ |
| 05 | — | 4490614 | — | NJ |