Healthcare Provider Details

I. General information

NPI: 1811712466
Provider Name (Legal Business Name): COSHOCTON MEADOWS SKILLED NURSING AND REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S WHITEWOMAN ST
COSHOCTON OH
43812-1068
US

IV. Provider business mailing address

108 BENJAMIN ST
TOMS RIVER NJ
08755-1198
US

V. Phone/Fax

Practice location:
  • Phone: 740-622-1220
  • Fax:
Mailing address:
  • Phone: 732-674-0589
  • 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. ELIEZER FINKELSTEIN
Title or Position: CEO
Credential: LNHA
Phone: 732-674-0589