Provider Demographics
NPI:1538599030
Name:KING REHAB SERVICES COMPANY
Entity type:Organization
Organization Name:KING REHAB SERVICES COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-693-3877
Mailing Address - Street 1:411 US HIGHWAY 9
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LANOKA HARBOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08734-2818
Mailing Address - Country:US
Mailing Address - Phone:609-693-3877
Mailing Address - Fax:732-353-5123
Practice Address - Street 1:411 US HIGHWAY 9
Practice Address - Street 2:SUITE 5
Practice Address - City:LANOKA HARBOR
Practice Address - State:NJ
Practice Address - Zip Code:08734-2818
Practice Address - Country:US
Practice Address - Phone:609-693-3877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00931200261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy