Organization
PENNSVILLE AL, LLC
Active
Other names
The Addison of Lindsay Place
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN LEVY (AGENT FOR OWNER)
(312) 673-4387
Entity
Organization
Contact information
Practice address
39 SUPAWNA RD, PENNSVILLE, NJ 08070-9657
(856) 339-0100
Mailing address
39 SUPAWNA RD, PENNSVILLE, NJ 08070-9657
(856) 339-0100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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