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NPI Code Detail

MEDICARE: BROOKHAVEN CENTER FOR REHABILITATION AND HEALTHCARE LLC

MEDICARE: BROOKHAVEN CENTER FOR REHABILITATION AND HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1306572474
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROOKHAVEN CENTER FOR REHABILITATION AND HEALTHCARE LLC
Provider Business Mailing Address
First Line : 211 BOULEVARD OF THE AMERICAS
Second Line : SUITE 209
City : LAKEWOOD
State : NJ
Zip : 08701
Country : US
Telephone Number : 732-352-3943
Fax Number :
Provider Business Practice Location Address
First Line : 120 PARK END PL
Second Line :
City : EAST ORANGE
State : NJ
Zip : 07018-1116
Country : US
Telephone Number : 732-952-3943
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : MR. ABRAHAM KRAUS
Credential :
Telephone Number : 732-352-3943
Provider Enumeration Date : 07/29/2022
Last Update Date : 08/29/2022

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Directions to “BROOKHAVEN CENTER FOR REHABILITATION AND HEALTHCARE LLC ” Practice Location

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