Organization
M & N PERSONAL CARE LLC
Active
Other names
Nicole Lilly, Mrs. Nicole Lilly
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE LILLY (OWNER/OPERATOR)
(609) 847-4050
Entity
Organization
Contact information
Practice address
513 BEACON AVE, PAULSBORO, NJ 08066-1155
(609) 847-4050
Mailing address
513 BEACON AVE, PAULSBORO, NJ 08066
(609) 847-4050
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205296258
—
NJ
Enumeration date
09/08/2022
Last updated
02/15/2025
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