Organization
PATRICIA ROGERS, LLC
Active
Other names
Shore Medical Behavioral Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ROGERS ARNP (PRESIDENT)
(908) 278-3688
Entity
Organization
Contact information
Practice address
42 ARBUTUS AVE, BRICK, NJ 08723-5528
(908) 278-3688
Mailing address
42 ARBUTUS AVE, BRICK, NJ 08723-5528
(908) 278-3688
(732) 477-4460
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
26NJ00066900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070190
—
NJ
Enumeration date
10/31/2006
Last updated
08/20/2008
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