Organization
JLGANDSONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AURA S GUERRERO MSRN (DIRECTOR)
(201) 655-4478
Entity
Organization
Contact information
Practice address
291 VIRGINIA AVE, JERSEY CITY, NJ 07304-1420
(201) 655-4478
Mailing address
291 VIRGINIA AVE, JERSEY CITY, NJ 07304-1420
(201) 655-4478
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
5984841
NY
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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