Organization
BRIANJRDUSTINANDREW
Active
Other names
bda
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN MICHELE HARRIS CNA/CHHA/EMT (OWNER/OPERATOR)
(856) 935-0427
Entity
Organization
Contact information
Practice address
413 SALEM HANCOCKS BRIDGE RD, SALEM, NJ 08079-9418
(856) 935-0427
(856) 935-0427
Mailing address
413 SALEM HANCOCKS BRIDGE RD, SALEM, NJ 08079-9418
(856) 935-0427
(856) 935-0427
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
26NH07335300
NJ
261QH0100X
Health Service Clinic/Center
Primary
NANJ0608042655
NJ
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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