Healthcare Provider Details

I. General information

NPI: 1063936565
Provider Name (Legal Business Name): FOREST CITY CENTER FOR NURSING AND REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2017
Last Update Date: 07/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 DELAWARE ST
FOREST CITY PA
18421-1005
US

IV. Provider business mailing address

1367 LANES MILL RD
LAKEWOOD NJ
08701-3834
US

V. Phone/Fax

Practice location:
  • Phone: 570-785-3005
  • Fax:
Mailing address:
  • Phone:
  • 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: ABRAHAM KRAUS
Title or Position: MANAGER
Credential:
Phone: 973-483-6800