Organization
LIBERTY ROYAL REHABILITATION AND HEALTHCARE CENTER LLC
Active
Other names
Liberty Royal Rehabilitation and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSHE FROST (CONTROLLER)
(732) 364-2672
Entity
Organization
Contact information
Practice address
524 WARDELL RD, TINTON FALLS, NJ 07753-7305
(732) 922-9330
(732) 922-1043
Mailing address
524 WARDELL RD, TINTON FALLS, NJ 07753-7305
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061310
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4488105
—
NJ
Enumeration date
09/22/2006
Last updated
07/27/2011
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