Organization
GHC RB OPERATOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN VASYS (CFO)
(732) 292-4363
Entity
Organization
Contact information
Practice address
325 MAPLE AVE, RED BANK, NJ 07701-2104
(732) 292-4363
Mailing address
1904 ATLANTIC AVE, MANASQUAN, NJ 08736-1006
(732) 292-4363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
02/07/2024
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