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General NPI Number Information
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NPI Number | 1023112497
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Entity Type | Organization
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Legal Business Name | THE GROVE HEALTHCARE AND REHABILITATION CENTER, LLC
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 02/18/2011
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Provider Practice Location Address
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Address Line | 919 GREEN GROVE RD
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City | NEPTUNE
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State | NJ
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Zip | 07753-2907
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Country | US
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Telephone | 732-922-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 919 GREEN GROVE RD
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City | NEPTUNE
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State | NJ
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Zip | 07753-2907
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Country | US
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Telephone | 732-922-3400
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Fax | 732-918-9027
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | YUDI STEINFELD
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Credential |
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Telephone | 732-922-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 061335
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License Number State | NJ
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