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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