Organization
229 BATH AVENUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH GOLDMAN (CONTROLLER)
(732) 446-1804
Entity
Organization
Contact information
Practice address
229 BATH AVE, LONG BRANCH, NJ 07740-6102
(732) 229-4300
(732) 571-0165
Mailing address
104 PENSION RD, ENGLISHTOWN, NJ 07726-8400
(732) 446-1804
(732) 446-0999
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061318
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4490908
—
NJ
Enumeration date
08/17/2005
Last updated
10/20/2011
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