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Organization
EVERYDAY LIVES
Active
Organization
EVERYDAY LIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COKER TAYLOR III (OWNER)
(609) 456-1449
Entity
Organization
Contact information
Practice address
31 S BROWNING AVE, SOMERDALE, NJ 08083-1109
(609) 456-1449
Mailing address
31 S BROWNING AVE, SOMERDALE, NJ 08083-1109
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
06/27/2020
Last updated
06/27/2020
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