Healthcare Provider Details

I. General information

NPI: 1962594770
Provider Name (Legal Business Name): SOUTH MOUNTAIN HEALTHCARE AND REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 01/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2385 SPRINGFIELD AVE
VAUXHALL NJ
07088-1046
US

IV. Provider business mailing address

2385 SPRINGFIELD AVE
VAUXHALL NJ
07088-1046
US

V. Phone/Fax

Practice location:
  • Phone: 908-688-3400
  • Fax:
Mailing address:
  • Phone: 908-688-3400
  • 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: MR. MELVIN FEIGENBAUM
Title or Position: PARTNER
Credential:
Phone: 908-688-3400