# AILLISE COMMUNITY HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093578312
- **Authorized official:** MRS. AILLISE BONHOMME (CEO)
- **Authorized official phone:** (862) 252-1495

## Contact information

- **Practice address:** 5051 ROUTE 42, BLACKWOOD, NJ 08012-1779
- **Practice address phone:** (856) 885-0558
- **Mailing address:** 801 GALLERIA DR, WILLIAMSTOWN, NJ 08094-6343
- **Mailing address phone:** (862) 251-1495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2024
- **Last updated:** 01/31/2024