Provider Demographics
NPI:1437428067
Name:MANAHAWKIN HEALTHCARE LP
Entity Type:Organization
Organization Name:MANAHAWKIN HEALTHCARE LP
Other - Org Name:MANAHAWKIN NURSING AND REHABILITATION CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:LIMITED PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:514-270-7000
Mailing Address - Street 1:1121 ROUTE 72 WEST
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2415
Mailing Address - Country:US
Mailing Address - Phone:609-597-8500
Mailing Address - Fax:609-597-3621
Practice Address - Street 1:1121 RTE 72 WEST
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2415
Practice Address - Country:US
Practice Address - Phone:609-597-8500
Practice Address - Fax:609-597-3621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061520314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility