Organization
92 BRICK ROAD OPERATING COMPANY LLC
Active
Organization
92 BRICK ROAD OPERATING COMPANY LLC
Active
Other names
Marlton Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD HOLLINGER (PRESIDENT/CEO)
(717) 591-5700
Entity
Organization
Contact information
Practice address
92 BRICK RD, MARLTON, NJ 08053-2177
(856) 988-8778
(856) 988-6901
Mailing address
4550 LENA DR, MECHANICSBURG, PA 17055-4922
(717) 591-5709
(717) 591-5710
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
22252
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001060000
AMERIHEALTH KEYSTONE
NJ
05
—
0001309
—
NJ
01
—
001060
AMERIHEALTH
NJ
01
—
313032
HORIZON BLUE CROSS
NJ
01
—
7828294
AETNA GOLDEN MEDICARE
NJ
01
—
AETNA BLUE BELL
2784259
NJ
Enumeration date
05/26/2006
Last updated
07/19/2013
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