Organization
BURNT TAVERN REHABILITATION AND HEALTH CARE CTR
Active
Other names
Burnt Tavern Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS KREIL (ADMINISTRATOR)
(732) 840-3700
Entity
Organization
Contact information
Practice address
1049 BURNT TAVERN RD, BRICK, NJ 08724-1967
(732) 840-3700
(832) 840-0572
Mailing address
1049 BURNT TAVERN RD, BRICK, NJ 08724-1967
(732) 840-3700
(832) 840-0572
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
ZBBGDW
NJ
314000000X
Skilled Nursing Facility
Primary
061518
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4494601
—
NJ
05
—
4494610
—
NJ
05
—
4494628
—
NJ
Enumeration date
05/27/2006
Last updated
11/11/2014
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