Healthcare Provider Details

I. General information

NPI: 1538700406
Provider Name (Legal Business Name): POLARIS HEALTHCARE AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2019
Last Update Date: 08/27/2020
Certification Date: 08/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 W CLARKE AVE
MILFORD DE
19963-1840
US

IV. Provider business mailing address

260 CHAMBERS BRIDGE RD
BRICK NJ
08723-2809
US

V. Phone/Fax

Practice location:
  • Phone: 302-503-7650
  • Fax:
Mailing address:
  • Phone: 732-262-2255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MEIR GELLEY
Title or Position: CEO
Credential:
Phone: 732-262-2255