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Organization

AVIE IDA'S ENTERPRISES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JESSICA KATHLINE COURSEY (OWNER)
(267) 216-7239
Entity
Organization

Contact information

Practice address
1 CARRIE PLACE, SICKLERVILLE, NJ 08081
(215) 380-5441
Mailing address
1 CARRIE PLACE, SICKLERVILLE, NJ 08081
(215) 380-5441

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
04/25/2023
Last updated
04/25/2023
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