# MULLICA HILL LACTATION LLC

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

## Provider details

- **NPI number:** 1831567429
- **Authorized official:** DANA SUZANNE MARRO BSN,RN,IBCLC (LACTATION CONSULTANT)
- **Authorized official phone:** (856) 625-6099

## Contact information

- **Practice address:** 415 ERYN RD, WENONAH, NJ 08090-1609
- **Practice address phone:** (856) 625-6099
- **Mailing address:** 415 ERYN RD, WENONAH, NJ 08090-1609
- **Mailing address phone:** (856) 625-6099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | 26NO11618000 | NJ | — |
| 253Z00000X | In Home Supportive Care Agency | 0400646066 | NJ | Yes |

## Other

- **Enumeration date:** 09/13/2015
- **Last updated:** 11/01/2016