# MOUNTAIN TOP REHABILITATION AND HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1912612508
- **Authorized official:** SHAI BERDUGO (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (570) 474-6377

## Contact information

- **Practice address:** 185 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1921
- **Practice address phone:** (570) 474-6377
- **Mailing address:** 575 ROUTE 70 FL 2, BRICK, NJ 08723-4042

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2023
- **Last updated:** 01/18/2023