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Organization
EPIC MEDICAL DAYCARE
Active
Organization
EPIC MEDICAL DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HARRIS (OWNER)
(973) 342-6904
Entity
Organization
Contact information
Practice address
39 FOREST ST, LOWER LEVEL, MONTCLAIR, NJ 07042-3550
(973) 342-6904
Mailing address
39 FOREST ST, LOWER LEVEL, MONTCLAIR, NJ 07042-3550
(973) 342-6904
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
R074780
NJ
Other
Enumeration date
11/19/2013
Last updated
12/05/2013
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