Healthcare Provider Details
I. General information
NPI: 1144685181
Provider Name (Legal Business Name): ALAMEDA CENTER FOR REHABILITATION AND HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2015
Last Update Date: 07/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
303 ELM ST
PERTH AMBOY NJ
08861-4015
US
IV. Provider business mailing address
303 ELM ST
PERTH AMBOY NJ
08861-4015
US
V. Phone/Fax
- Phone: 732-442-9540
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIYAHU
Z
FRANKEL
Title or Position: AUTHORIZED REP
Credential:
Phone: 732-442-9540