Organization
CORDILLERA PROFESSIONALS LLC
Active
Other names
Montclair Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH WOOLRIDGE MANAGER (MANAGER)
(973) 615-8042
Entity
Organization
Contact information
Practice address
403 CLAREMONT AVE, MONTCLAIR, NJ 07042-1801
(973) 615-8042
Mailing address
403 CLAREMONT AVE, MONTCLAIR, NJ 07042-1801
(973) 615-8042
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
05/03/2022
Last updated
05/05/2022
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