Healthcare Provider Details

I. General information

NPI: 1417958257
Provider Name (Legal Business Name): MERIDIAN NURSING AND REHABILITATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 11/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 AVENUE AT THE CMN
SHREWSBURY NJ
07702-4579
US

IV. Provider business mailing address

89 AVENUE AT THE CMN
SHREWSBURY NJ
07702-4579
US

V. Phone/Fax

Practice location:
  • Phone: 732-676-5800
  • Fax: 732-576-5801
Mailing address:
  • Phone: 732-676-5800
  • Fax: 732-576-5801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number061326
License Number StateNJ

VIII. Authorized Official

Name: MRS. KEN ABER
Title or Position: VICE PRESIDENT OF FINANCE
Credential: LNHA
Phone: 732-751-3600