Organization
HADDON HOUSE ADULT MEDICAL DAY CARE, LLC
Active
Other names
Haddon Renaissance Adult Day Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROOSEVELT NESMITH (MANAGING PARTNER)
(856) 964-3100
Entity
Organization
Contact information
Practice address
1470 HADDON AVE, CAMDEN, NJ 08103-3121
(856) 964-3100
(856) 964-3221
Mailing address
1470 HADDON AVE, CAMDEN, NJ 08103-3121
(856) 964-3100
(856) 964-3221
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
158335
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106062
—
NJ
Enumeration date
03/27/2007
Last updated
08/22/2020
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