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2nd Home East Orange Llc
Adult Day Care Clinic/Center in East Orange, New Jersey
NPI 1700279932

2nd Home East Orange Llc is an Adult Day Care Clinic/Center based in Newark, NJ and is specialized in Adult Day Care. 2nd Home East Orange Llc practices in East Orange, NJ. The NPI Number for 2nd Home East Orange Llc is 1700279932 and holds a License No. 308113 (New Jersey).

The current practice location address for 2nd Home East Orange Llc is 115 Evergreen Pl, East Orange, NJ and can be reached out via phone at 973-676-2600.

Location: 115 Evergreen Pl, East Orange, NJ, 07102-3229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700279932
Provider Name
2nd Home East Orange Llc
Credential
Provider Entity Type
Organization
Address
115 Evergreen Pl, East Orange, NJ, 07102-3229
Phone Number
973-676-2600
Fax Number
Provider Enumeration Date
03/12/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
308113 01 NJ STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
115 Evergreen Pl
City
East Orange
State
New Jersey
Zip
07018-2020
Phone Number
973-676-2600
Fax Number
person
Provider Business Mailing Address Details
Address
115 Evergreen Pl
City
East Orange
State
New Jersey
Zip
07018-2020
Phone Number
973-676-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
308113 (New Jersey)
Definition
Definition to come...
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