Organization
THE SHORES AT WESLEY MANOR
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
2201 BAY AVE, OCEAN CITY, NJ 08226-2568
(609) 399-8505
(609) 391-8411
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
—
4471903
—
NJ
05
—
7700504
—
NJ
Enumeration date
11/01/2006
Last updated
12/06/2016
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