Healthcare Provider Details

I. General information

NPI: 1245889294
Provider Name (Legal Business Name): RESORTS AT POOLER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 09/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 S ROGERS ST
POOLER GA
31322-3116
US

IV. Provider business mailing address

27 US HIGHWAY ROUTE 1 SOUTH
NEW BRUNSWICK NJ
08901
US

V. Phone/Fax

Practice location:
  • Phone: 912-748-6840
  • Fax:
Mailing address:
  • Phone: 732-828-2400
  • 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: ZVI ROSENBERG
Title or Position: BUSINESS OFFICE
Credential:
Phone: 732-860-5156