Organization
MERIDIAN NURSING AND REHABILITATION INC
Active
Other names
Bayshore Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS A DEYO (DIRECTOR LTC ACCOUNTANT)
(732) 751-3624
Entity
Organization
Contact information
Practice address
715 N BEERS ST, HOLMDEL, NJ 07733-1503
(732) 847-3000
(732) 847-3794
Mailing address
3349 HWY 138 BLDG C, SUITE A, WALL TOWNSHIP, NJ 07719-9671
(732) 751-3600
(732) 751-3649
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0381071
—
NJ
05
—
4490606
—
NJ
Enumeration date
02/03/2006
Last updated
02/21/2014
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