Organization
GREEN HOUSE RESIDENCE CARE AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL BIRNBAUM (MANAGER)
(718) 650-0219
Entity
Organization
Contact information
Practice address
1010 E 33RD ST, BALTIMORE, MD 21218-3780
(410) 554-9890
Mailing address
585 PROSPECT ST STE 304, LAKEWOOD, NJ 08701-5073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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