Organization
GENESIS REHAB SERVICES SOUTHERN OCEAN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYEL SURRIGA (REHAB MANAGER)
(609) 978-0600
Entity
Organization
Contact information
Practice address
1361 ROUTE 72 W, MANAHAWKIN, NJ 08050-2417
(609) 978-0600
Mailing address
823 CORAL AVE, LAKEWOOD, NJ 08701-5422
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
41YS00652100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80269690
EMPLOYEE IDENTIFICATION NUMBER
—
Enumeration date
08/16/2011
Last updated
08/16/2011
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