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Organization

LONG LIFE ADULT DAY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELLA EFMAN (ADMINISTRATOR)
(201) 943-7111
Entity
Organization

Contact information

Practice address
596 ANDERSON AVE, SUITE 110, CLIFFSIDE PARK, NJ 07010-1831
(201) 943-7111
(201) 943-8859
Mailing address
596 ANDERSON AVE, SUITE 110, CLIFFSIDE PARK, NJ 07010-1831
(201) 943-7111
(201) 943-8859

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
058100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8117900
NJ
Enumeration date
07/11/2007
Last updated
07/11/2007
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