Organization
ETTA BELL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHIA B SKINNER (OWNER)
(856) 278-6904
Entity
Organization
Contact information
Practice address
2049 BARNSBORO RD, SUITE C 7, BLACKWOOD, NJ 08012-2575
(856) 278-6904
Mailing address
2049 BARNSBORO RD, SUITE C 7, BLACKWOOD, NJ 08012-2575
(856) 278-6904
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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