| Organization Name: | HEARTLAND REHABILITATION SERVICES OF NEW JERSEY, LLC |
| NPI Number: | 1902018260 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARRY A LAZARUS (VICE PRESIDENT-REIMBURSEMENT) |
| Mailing Address: | 389 Harding Hwy Suite 2 Pittsgrove |
| State: | NJ US |
| Postal Code: | 083182057 |
| Phone Number: | 8563584500 |
| Fax Number: | 8563584502 |
| NPI Enumeration Date: | 05/07/2007 |
| NPI Last Update Date: | 04/23/2010 |
| 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: | |