Organization
COASTAL HOME REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LOVE (PARTNER)
(908) 670-6695
Entity
Organization
Contact information
Practice address
508 10TH AVE, BELMAR, NJ 07719-2317
(908) 670-6695
Mailing address
PO BOX 851, BELMAR, NJ 07719-0851
(908) 670-6695
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
QA00884600
NJ
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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