Organization
ELLE VIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE DUPERON (CEO)
(610) 457-2333
Entity
Organization
Contact information
Practice address
1329 HEARTWOOD DR, CHERRY HILL, NJ 08003-2741
(610) 457-2333
Mailing address
5211 BROWN LEAF TRL, POWDER SPRINGS, GA 30127-8913
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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