Organization
LUKE'S PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C. JENSEN (PRESIDENT)
(856) 287-5855
Entity
Organization
Contact information
Practice address
323 E ATLANTIC AVE, AUDUBON, NJ 08106-1501
(856) 287-1838
(856) 546-7136
Mailing address
543 W KINGS HWY, AUDUBON, NJ 08106-2207
(856) 287-1838
(856) 546-7136
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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