Organization
LEVEL UP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANNETTE SIMMONS (CAREGIVER)
(609) 379-9690
Entity
Organization
Contact information
Practice address
5 ARDSLEY AVE, EWING, NJ 08638-2805
(609) 379-9690
(609) 571-3672
Mailing address
348 ADELINE ST, TRENTON, NJ 08611-2512
(609) 379-9690
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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