Organization
CRYSTAL LAKE HEALTHCARE AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA B LINTEAU (CONTRACT MANAGER)
(908) 686-3233
Entity
Organization
Contact information
Practice address
395 LAKESIDE BLVD, BAYVILLE, NJ 08721-2807
(732) 269-0500
Mailing address
2029 MORRIS AVE, SUITE #2, UNION, NJ 07083-6013
(908) 686-3233
(908) 686-3668
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061501
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4493001
—
NJ
Enumeration date
09/22/2006
Last updated
01/17/2008
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