Healthcare Provider Details

I. General information

NPI: 1770515165
Provider Name (Legal Business Name): BACHARACH INSTITUTE FOR REHABILITATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 04/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 WEST JIMMIE LEEDS ROAD
POMONA NJ
08240-0723
US

IV. Provider business mailing address

61 W JIMMIE LEEDS ROAD PO BOX 723
POMONA NJ
08240-0723
US

V. Phone/Fax

Practice location:
  • Phone: 609-748-5454
  • Fax: 609-748-7755
Mailing address:
  • Phone: 609-748-5454
  • Fax: 609-748-7755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number20125
License Number StateNJ

VIII. Authorized Official

Name: MS. NANCY F PRICE
Title or Position: DIRECTOR PATIENT FINANCIAL SERVICES
Credential:
Phone: 609-748-5454