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General NPI Number Information
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NPI Number | 1538700406
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Entity Type | Organization
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Legal Business Name | POLARIS HEALTHCARE AND REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 21 W CLARKE AVE
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City | MILFORD
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State | DE
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Zip | 19963-1840
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Country | US
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Telephone | 302-503-7650
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Fax |
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Provider Business Mailing Address
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Address Line | 260 CHAMBERS BRIDGE RD
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City | BRICK
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State | NJ
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Zip | 08723-2809
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Country | US
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Telephone | 732-262-2255
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MEIR GELLEY
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Credential |
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Telephone | 732-262-2255
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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 |
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License Number State |
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