Organization
GREEN HOUSE RESIDENCE CARE AND REHABILITATION CENTER LLC
Active
Other names
The Nursing and Rehabilitation Center at Stadium Place
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL BIRNBAUM (OWNER)
(718) 650-0219
Entity
Organization
Contact information
Practice address
1010 E 33RD ST, BALTIMORE, MD 21218-3780
(410) 554-9890
Mailing address
585 PROSPECT ST STE 304, LAKEWOOD, NJ 08701-5073
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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