Organization
CHRISTIAN HEALTH CARE CENTER
Active
Other names
Christian Health Care Adult Day Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN STAGG (EXECUTIVE VICE PRESIDENT CFO)
(201) 848-5200
Entity
Organization
Contact information
Practice address
2000 SIENA VLG, WAYNE, NJ 07470-3590
(973) 305-9155
(973) 305-9730
Mailing address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-5200
(201) 848-5493
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
708111
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9103309
—
NJ
Enumeration date
09/20/2006
Last updated
08/22/2020
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