Organization
MANOR BY THE SEA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD D WILSON (VP FINANCE)
(732) 922-9802
Entity
Organization
Contact information
Practice address
160 S MAIN ST, OCEAN GROVE, NJ 07756-1013
(732) 775-0554
(732) 774-2021
Mailing address
3311 STATE ROUTE 33, NEPTUNE, NJ 07753-3440
(732) 922-9802
(732) 922-9804
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
314000000X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6370306
—
NJ
Enumeration date
11/02/2006
Last updated
06/19/2008
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