Organization
IBRNG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHIER RESPES (CEO)
(856) 449-3190
Entity
Organization
Contact information
Practice address
10 LAKESIDE AVE, CHERRY HILL, NJ 08003-3611
(856) 449-3190
Mailing address
10 LAKESIDE AVE, CHERRY HILL, NJ 08003-3611
(856) 449-3190
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/21/2022
Last updated
03/21/2025
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