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NPI Code Detail

MEDICARE: RIDGEVIEW HEALTHCARE & REHAB CENTER LLC

MEDICARE: RIDGEVIEW HEALTHCARE & REHAB CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1740588094
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIDGEVIEW HEALTHCARE & REHAB CENTER LLC
Provider Business Mailing Address
First Line : 260 CHAMBERSBRIDGE RD
Second Line :
City : BRICK
State : NJ
Zip : 08723-2809
Country : US
Telephone Number : 732-262-2255
Fax Number : 732-262-3332
Provider Business Practice Location Address
First Line : 200 PENNSYLVANIA AVE
Second Line :
City : SHENANDOAH
State : PA
Zip : 17976-1332
Country : US
Telephone Number : 732-262-2255
Fax Number : 732-262-3332
Authorized Official
Title or Position : CONTROLLER
Name : MR. BEN FRIEDMAN
Credential :
Telephone Number : 732-262-2255
Provider Enumeration Date : 03/10/2011
Last Update Date : 03/10/2011

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