# COOPER RIVER GARDEN GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** River Front Rehabilitation & Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942934963
- **Authorized official:** SHIMMY LIEBES (DIRECTOR OF AR)
- **Authorized official phone:** (443) 563-8444

## Contact information

- **Practice address:** 5101 N PARK DR, PENNSAUKEN, NJ 08109-4643
- **Practice address phone:** (856) 665-8844
- **Mailing address:** 14C 53RD ST, BROOKLYN, NY 11232-2644

## Taxonomy

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

## Other

- **Enumeration date:** 07/14/2022
- **Last updated:** 11/20/2024