Organization
HACKENSACK MERIDIAN AMBULATORY CARE, INC.
Active
Other names
Bayshore Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HAND (SENIOR FINANCE ADMINISTRATION)
(732) 481-8529
Entity
Organization
Contact information
Practice address
715 N BEERS ST, HOLMDEL, NJ 07733-1503
(732) 847-3700
Mailing address
3349 HWY 138 BLD C, SUITE A, WALL, NJ 07719
(732) 751-3624
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0381071
—
NJ
01
—
315252
MEDICARE
NJ
Enumeration date
10/16/2017
Last updated
12/27/2021
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