Active NPIOrganization

At Liberty Place LLC,

Custodial Care Facility, Adult Care Home in Paulsboro, New Jersey

NPI Number1447067186
Practice location
1655 Swedesboro Ave, Paulsboro, NJ 08066-1533
Fax
856-599-1379
Last updated
December 16, 2024

At Liberty Place LLC, is a healthcare organization based in Paulsboro, NJ. At Liberty Place LLC, practices in Paulsboro, NJ. The NPI Number for At Liberty Place LLC, is 1447067186. The current practice location address for At Liberty Place LLC, is 1655 Swedesboro Ave, Paulsboro, NJ 08066-1533 and can be reached out via phone at 856-294-7979 and via fax at 856-599-1379.

Provider Profile Details

NPI Number
1447067186
Provider Name
At Liberty Place LLC,
Provider Entity Type
Organization
Address
1655 Swedesboro Ave, Paulsboro, NJ 08066-1533
Phone Number
856-294-7979
Fax Number
856-599-1379
Primary Taxonomy
Custodial Care Facility, Adult Care Home · 311ZA0620X
Organization Subpart
No
Authorized Official
Mrs. Remenda Mears-Charles · Ceo · 856-294-7979
Provider Enumeration Date
December 16, 2024
Last Update Date
December 16, 2024
Certification Date
December 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1655 Swedesboro Ave
Paulsboro, NJ 08066-1533
Zip
08066-1533
Phone Number
856-294-7979
Fax Number
856-599-1379
Paulsboro, NJ 08066Get directions →

Provider Business Mailing Address Details

Address
1655 Swedesboro Ave
Paulsboro, NJ 08066-1533
City
Paulsboro
State
NJ
Zip
08066-1533
Phone Number
856-294-7979

License Information

Taxonomy
Custodial Care Facility, Adult Care Home · 311ZA0620X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of At Liberty Place LLC,?

The NPI number of At Liberty Place LLC, is 1447067186. It was assigned on December 16, 2024 and is currently active in the NPPES registry.

What is the specialty of At Liberty Place LLC,?

At Liberty Place LLC, is registered under the primary taxonomy Custodial Care Facility, Adult Care Home (code 311ZA0620X).

Where does At Liberty Place LLC, practice?

The practice location is 1655 Swedesboro Ave, Paulsboro, NJ 08066-1533. The office can be reached at 856-294-7979 (phone) or 856-599-1379 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447067186 directly on the NPPES registry website.

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