# ATLANTIC ADULT DAY HEALTH CARE

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

## Provider details

- **NPI number:** 1740321157
- **Authorized official:** MR. STAN DERVECH (ADMINISTRATOR)
- **Authorized official phone:** (609) 383-3313

## Contact information

- **Practice address:** 331 TILTON RD STE 2A, NORTHFIELD, NJ 08225-1248
- **Practice address phone:** (609) 383-3313
- **Practice address fax:** (609) 383-1600
- **Mailing address:** 331 TILTON RD STE 2A, NORTHFIELD, NJ 08225-1248
- **Mailing address phone:** (609) 383-3313
- **Mailing address fax:** (609) 383-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | NE6M6S | NJ | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 08/22/2020