Basic Information
| Provider Information | |||||||||
| NPI: | 1801441803 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BOYD NURSING AND REHABILITATION LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 BOULEVARD OF AMERICAS | ||||||||
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| City: | LAKEWOOD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 087014585 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7329618400 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12100 PRINCELAND SPUR | ||||||||
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| City: | ASHLAND | ||||||||
| State: | KY | ||||||||
| PostalCode: | 411027883 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6069282963 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/06/2019 | ||||||||
| LastUpdateDate: | 08/06/2019 | ||||||||
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| AuthorizedOfficialLastName: | MCGUINNESS | ||||||||
| AuthorizedOfficialFirstName: | BERNARD | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 3175234786 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.