# WISHING WELL ADULT DAY HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1548620701
- **Authorized official:** MRS. DENISE O'CONNOR RN (DIRECTOR OF NURSING)
- **Authorized official phone:** (732) 856-3778

## Contact information

- **Practice address:** 3450 PRINCETON PIKE STE 120, LAWRENCEVILLE, NJ 08648-1206
- **Practice address phone:** (732) 242-9741
- **Practice address fax:** (732) 242-9741
- **Mailing address:** 3450 PRINCETON PIKE STE 120, LAWRENCEVILLE, NJ 08648-1206
- **Mailing address phone:** (732) 242-9741
- **Mailing address fax:** (732) 242-9741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 11012 | NJ | Yes |

## Other

- **Enumeration date:** 03/02/2016
- **Last updated:** 03/02/2016