| Organization Name: | MAGNIFICENT HEALTHCARE AND REHAB SERVICES LLC |
| NPI Number: | 1356668305 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANIL SINGH (MANEGER) |
| Mailing Address: | 1030 Saint Georges Ave # Ll3 Avenel |
| State: | NJ US |
| Postal Code: | 070011390 |
| Phone Number: | 7327628346 |
| Fax Number: | 7327505550 |
| NPI Enumeration Date: | 04/30/2010 |
| NPI Last Update Date: | 04/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 40QA00629500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |