Organization
LIFE ABLED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY J WRIGHT (PRESIDENR/CEO)
(732) 444-6333
Entity
Organization
Contact information
Practice address
125 HALF MILE RD, SUITE 200, RED BANK, NJ 07701-6749
(732) 444-6333
(480) 393-5688
Mailing address
125 HALF MILE RD, SUITE 200, RED BANK, NJ 07701-6749
(732) 444-6333
(480) 393-5688
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
253E0000X- IN HOME S
NJ
Other
Enumeration date
03/25/2009
Last updated
05/14/2009
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