Organization
SALEM ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BUCOLO LNHA (ADMINISTRATOR)
(856) 299-1111
Entity
Organization
Contact information
Practice address
53-55 S BROAD ST, PENNS GROVE, NJ 08069-1603
(856) 299-1111
Mailing address
53-55 S BROAD ST, PENNS GROVE, NJ 08069-1603
(856) 299-1111
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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