Basic Information
| Provider Information | |||||||||
| NPI: | 1245696541 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NAMAH REHABILITATION LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21 WINGED FOOT DR | ||||||||
| Address2: | |||||||||
| City: | MANALAPAN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077269332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322167602 | ||||||||
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| Practice Location | |||||||||
| Address1: | 24 DUGANS GROVE ROAD | ||||||||
| Address2: | |||||||||
| City: | MILLSTONE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322167602 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2016 | ||||||||
| LastUpdateDate: | 01/22/2016 | ||||||||
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| AuthorizedOfficialLastName: | POHUJA | ||||||||
| AuthorizedOfficialFirstName: | VARSHA | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 7322167602 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0400X | NJ | Y | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation |
No ID Information.