Organization
MT BETHEL DAY PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA SCHAFFER (CFO)
(908) 889-4200
Entity
Organization
Contact information
Practice address
67 MOUNTAIN BLVD, SUITE 201, WARREN, NJ 07059
(908) 757-7000
(908) 757-7022
Mailing address
316 SOUTH AVE, FANWOOD, NJ 07023
(908) 889-4200
(908) 889-4224
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
NJ
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
12/12/2018
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