Organization
AILLISE COMMUNITY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AILLISE BONHOMME (CEO)
(862) 252-1495
Entity
Organization
Contact information
Practice address
5051 ROUTE 42, BLACKWOOD, NJ 08012-1779
(856) 885-0558
Mailing address
801 GALLERIA DR, WILLIAMSTOWN, NJ 08094-6343
(862) 251-1495
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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