Healthcare Provider Details

I. General information

NPI: 1316232812
Provider Name (Legal Business Name): GOLDEN REHABILITATION AND NURSING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 07/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 SALEM WOODSTOWN RD
SALEM NJ
08079-4220
US

IV. Provider business mailing address

2477 HIGHWAY 516 SUITE 101
OLD BRIDGE NJ
08857-4603
US

V. Phone/Fax

Practice location:
  • Phone: 856-935-6677
  • Fax: 856-935-0457
Mailing address:
  • Phone: 732-358-6883
  • Fax: 732-707-3853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number061703
License Number StateNJ

VIII. Authorized Official

Name: MR. ARYEH STERN
Title or Position: MEMBER OF LLC
Credential: LNHA
Phone: 732-358-6883