Organization
11974 EDGEHILL TERRACE OPCO LLC
Active
Other names
Manokin Nursing and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
YECHIEL HIRTH (CEO)
(732) 744-4611
Entity
Organization
Contact information
Practice address
11974 EDGEHILL TERRACE RD, PRINCESS ANNE, MD 21853-2105
(410) 651-0011
Mailing address
28 ROOSEVELT AVE, LAKEWOOD, NJ 08701-5654
(732) 744-4611
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/10/2022
Last updated
08/14/2023
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