| Organization Name: | MANE STREAM, INC. |
| NPI Number: | 1245623263 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GINA TAYLOR (DIRECTOR OF THERAPY SERVICES) |
| Mailing Address: | 83 Old Turnpike Road Oldwick |
| State: | NJ US |
| Postal Code: | 088580081 |
| Phone Number: | 9084399636 |
| Fax Number: | 9084392338 |
| NPI Enumeration Date: | 03/16/2015 |
| NPI Last Update Date: | 03/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |