Organization
SUNSHINE ADVANTAGE OF PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM LICHTSCHEIN (OWNER)
(917) 748-2992
Entity
Organization
Contact information
Practice address
1439 SOUTH ST, LAKEWOOD, NJ 08701-5440
(917) 748-2992
Mailing address
1439 SOUTH ST, LAKEWOOD, NJ 08701-5440
(917) 748-2992
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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