Organization
EDGEWOOD MANOR REHABILITATION AND HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE WEINTRAUB (COO)
(732) 372-9636
Entity
Organization
Contact information
Practice address
1330 FULTON ST, PORT CLINTON, OH 43452-9297
(732) 372-9636
Mailing address
14 OLIVER ST, LAKEWOOD, NJ 08701-2339
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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