Organization
200 MARTER AVENUE OPERATIONS LLC
Active
Parent organization
GENESIS NJ HOLDINGS LLC
Other names
PowerBack Rehabilitation Moorestown
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS NJ HOLDINGS LLC
Authorized official
MICHAEL T BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
212 MARTER AVE, MOORESTOWN, NJ 08057-3114
(856) 291-4800
Mailing address
101 EAST STATE STREET, KENNETT SQUARE, PA 19347-3109
(610) 444-6350
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000NJ
NJ
Other
Enumeration date
03/14/2014
Last updated
10/01/2015
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