Organization
EMANUEL'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT JOHN COPPOLA (DIRECTOR)
(215) 740-3079
Entity
Organization
Contact information
Practice address
462 SQUANKUM YELLOWBROOK RD, FARMINGDALE, NJ 07727-3775
(215) 740-3079
Mailing address
3 KATIE CT, FREEHOLD, NJ 07728-8491
(215) 740-3079
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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