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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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