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Organization

DERLAN ENTERPRISES

Active
Other names
center for growth partial care
Organization subpart
No

Provider details

NPI number
Authorized official
ARNOLD LIZARDO BS (PRESIDENT)
(973) 678-7445
Entity
Organization

Contact information

Practice address
498 WILLIAM ST, EAST ORANGE, NJ 07017-2214
(973) 678-7445
(973) 678-6611
Mailing address
375 POND RD, BRIDGEWATER, NJ 08807-2082
(973) 678-7445
(973) 678-6611

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
10134-01-05
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0054399
NJ
Enumeration date
04/19/2007
Last updated
07/08/2008
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