Organization
134 EVERGREEN PLACE DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BORIS SHAPIRO (MANAGER)
(201) 803-7242
Entity
Organization
Contact information
Practice address
134 EVERGREEN PL, SUITE 702, EAST ORANGE, NJ 07018-2011
(973) 674-5410
Mailing address
300 WINSTON DR, APT.2922, CLIFFSIDE PARK, NJ 07010-3236
(201) 803-7242
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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