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Organization

KING MANOR REHAB, LLC

Active
Other names
King Manor Care & Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHIMON D FALIK LNHA (ADMINISTRATOR)
(732) 774-3500
Entity
Organization

Contact information

Practice address
2303 W BANGS AVE, NEPTUNE, NJ 07753-4111
(732) 774-3500
(732) 774-5481
Mailing address
2303 W BANGS AVE, NEPTUNE, NJ 07753-4111
(732) 774-3500
(732) 774-5481

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061341
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4490509
NJ
01
5905990001
MEDICARE NHIC
Enumeration date
12/06/2006
Last updated
11/30/2007
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