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Organization
WILEY MISSION
Active
Organization
WILEY MISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR A FLAMINI (CFO)
(856) 983-0411
Entity
Organization
Contact information
Practice address
99 E MAIN ST, MARLTON, NJ 08053-2122
(856) 983-0411
(856) 985-4655
Mailing address
99 E MAIN ST, MARLTON, NJ 08053-2122
(856) 983-0411
(856) 985-4655
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
153335
NJ
314000000X
Skilled Nursing Facility
Primary
030307
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4466900
—
NJ
Enumeration date
10/28/2005
Last updated
08/16/2024
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