Organization · Type 2 NPI
Evergreen Adult Day Care, LLC
Adult Day Care Clinic/Center · East Orange, NJ
NPI number
1629317367
Active
Practice location
33 Evergreen Pl
East Orange, NJ 07018-2166
Fax (732) 947-3001
Mailing address
335 Lancaster Ct
Piscataway, NJ 08854-6222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
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About NPI 1629317367
Evergreen Adult Day Care, LLC's National Provider Identifier is 1629317367, issued on Jan 31, 2013. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in East Orange, NJ. The record was last updated on Jan 31, 2013.