Organization
NATURE TRAIL HEALTH AND REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALOM LICHTMAN (MEDICARE AUTHORIZED OFFICIAL)
(917) 873-2936
Entity
Organization
Contact information
Practice address
1001 S 34TH ST, MOUNT VERNON, IL 62864-6232
(618) 242-5700
Mailing address
229 ROUTE 70 STE 100, TOMS RIVER, NJ 08755-1026
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
04/13/2026
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