Provider First Line Business Practice Location Address:
VENETIAN CARE AND REHABILITATION CENTER
Provider Second Line Business Practice Location Address:
275 JOHN T. OLEARY BOULEVARD
Provider Business Practice Location Address City Name:
SOUTH AMBOY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08879
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-804-7002
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/20/2005