1361 Route 72 West Operations LLC
NPI #1366626665 in Manahawkin, New Jersey
Provider Information
- NPI Number
- 1366626665
- Entity Type
- Organization
- Organization Name
- 1361 Route 72 West Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 21, 2007
- Last Updated
- Jun 26, 2025
Practice Location
- Address
- 1361 ROUTE 72 W
- City
- Manahawkin
- State
- New Jersey
- ZIP Code
- 08050-2417
- Phone
- (609) 978-0600
Authorized Official
- Name
- MICHAEL T BERG
- Title
- SECRETARY
- Phone
- (610) 444-6350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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