Organization · Type 2 NPI

Providence Pediatric Medical Daycare, Inc.

Medically Fragile Infants and Children Day Care · Camden, NJ

NPI number 1083765010 Active

Practice location

1000 Atlantic Ave, Camden D, 2nd Floor
Camden, NJ 08104-1132

Call (856) 338-0900 Map

Fax (856) 338-0029

Mailing address

411 Commerce Ln
West Berlin, NJ 08091-9254

Specialties and licenses

TaxonomyCodeLicense
Medically Fragile Infants and Children Day Care Primary 261QM3000X158222 (NJ)

Medically Fragile Infants and Children Day Care: An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).

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About NPI 1083765010

Providence Pediatric Medical Daycare, Inc.'s National Provider Identifier is 1083765010, issued on Jan 16, 2007. The primary taxonomy on file is Medically Fragile Infants and Children Day Care (261QM3000X), and the practice location is in Camden, NJ. The record was last updated on Jun 3, 2008.