Organization
RIVERSIDE MANOR ADULT DAY HEALTH CARE CENTER L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MILLER (MANAGER)
(732) 370-9400
Entity
Organization
Contact information
Practice address
699 CROSS ST, LAKEWOOD, NJ 08701-4610
(732) 370-9400
Mailing address
699 CROSS ST, LAKEWOOD, NJ 08701-4610
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
4019N9
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8723303
—
NJ
Enumeration date
03/23/2007
Last updated
08/22/2020
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