Organization
CHERRY BLOSSOM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALOHA M WILKINS BSW, CSW (AO-MANAGING MEMBER)
(973) 262-7530
Entity
Organization
Contact information
Practice address
52 HILLSIDE TER, NEWTON, NJ 07860-1118
(973) 262-7530
Mailing address
52 HILLSIDE TER, NEWTON, NJ 07860-1118
(973) 262-7530
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
02/08/2022
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