Healthcare Provider Details

I. General information

NPI: 1366698920
Provider Name (Legal Business Name): THE PALACE REHABILITATION AND CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2008
Last Update Date: 05/08/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W MILL RD
MAPLE SHADE NJ
08052-2832
US

IV. Provider business mailing address

ROUTE 38 AND MILL ROAD
MAPLE SHADE NJ
08052
US

V. Phone/Fax

Practice location:
  • Phone: 718-567-0400
  • Fax:
Mailing address:
  • Phone:
  • 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: CHAVIE KATZ
Title or Position: BILLING MANAGER
Credential:
Phone: 718-567-0400