Organization
MAPLE SHADE HEALTHCARE LLC
Active
Other names
Maple Shade Wellness and Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
ABE PHILLIP (MEMBER)
(877) 567-0402
Entity
Organization
Contact information
Practice address
794 N FORKLANDING RD, MAPLE SHADE, NJ 08052-1049
(856) 779-9333
(856) 779-1317
Mailing address
630 HERMAN RD, JACKSON, NJ 08527-3081
(877) 567-0402
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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