Provider Demographics
NPI:1952566028
Name:WEDGWOOD GARDENS CARE CENTER
Entity Type:Organization
Organization Name:WEDGWOOD GARDENS CARE CENTER
Other - Org Name:THE REHAB CENTER AT WEDGWOOD GARDENS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:S ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KASZIRER
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:732-677-1200
Mailing Address - Street 1:3419 ROUTE 9 N
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-3284
Mailing Address - Country:US
Mailing Address - Phone:732-677-1200
Mailing Address - Fax:
Practice Address - Street 1:3419 ROUTE 9 N
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-3284
Practice Address - Country:US
Practice Address - Phone:732-677-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2008-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility