Organization
MERIDIAN NURSING AND REHABILITATION, INC
Active
Other names
Bayshore Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS A DEYO (DIRECTOR LTC ACCOUNTS)
(732) 751-3624
Entity
Organization
Contact information
Practice address
715 N BEERS ST, HOLMDEL, NJ 07733-1503
(732) 847-3000
Mailing address
3349 HWY 138 STE A, WALL TOWNSHIP, NJ 07719-9671
(732) 751-3600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061342
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0388033
—
NJ
Enumeration date
02/28/2014
Last updated
02/28/2014
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