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NPI Code Detail

MEDICARE: OCEAN CONVALESCENT CENTER INC

MEDICARE: OCEAN CONVALESCENT CENTER INC
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 Facility061511NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710974050
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCEAN CONVALESCENT CENTER INC
Provider Business Mailing Address
First Line : 1579 OLD FREEHOLD RD
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08755-2173
Country : US
Telephone Number : 732-505-4477
Fax Number : 732-505-4567
Provider Business Practice Location Address
First Line : 1579 OLD FREEHOLD RD
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08755-2173
Country : US
Telephone Number : 732-505-4477
Fax Number : 732-505-4567
Authorized Official
Title or Position : ADMINISTRATOR/OWNER
Name : MR. ANDREW SHAWN
Credential :
Telephone Number : 732-505-4477
Provider Enumeration Date : 10/03/2005
Last Update Date : 01/11/2008

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Directions to “OCEAN CONVALESCENT CENTER INC ” Practice Location

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