Organization Name: | KING REHAB SERVICES COMPANY |
NPI Number: | 1538599030 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINA KING (ADMINISTRATOR) |
Mailing Address: | 411 Us Highway 9 Suite 5 Lanoka Harbor |
State: | NJ US |
Postal Code: | 087342818 |
Phone Number: | 6096933877 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2013 |
NPI Last Update Date: | 11/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 40QA00931200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |