Organization
WILSHIRE OPERATOR LLC
Active
Other names
Wilshire at Lakewood Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUES WOLF (MANAGER)
(908) 621-1184
Entity
Organization
Contact information
Practice address
600 NE MEADOWVIEW DR, LEES SUMMIT, MO 64064-1983
(816) 554-9866
Mailing address
311 BLVD OF THE AMERICAS, SUITE 201, LAKEWOOD, NJ 08701
(908) 621-1184
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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