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Organization
MAPLE SHADE HEALTHCARE LLC
Active
Organization
MAPLE SHADE HEALTHCARE LLC
Active
Other names
Maple Shade Wellness and Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
ABE PHILLIP (MEMBER)
(877) 567-0402
Entity
Organization
Contact information
Practice address
794 N FORKLANDING RD, MAPLE SHADE, NJ 08052-1049
(856) 779-9333
(856) 779-1317
Mailing address
630 HERMAN RD, JACKSON, NJ 08527-3081
(877) 567-0402
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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