Organization
MELCO RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MOTHERSIL (CHIEF EXECUTIVE OFFICER)
(407) 274-4029
Entity
Organization
Contact information
Practice address
4 CARILLON CIR, LIVINGSTON, NJ 07039-2600
(407) 274-4029
Mailing address
4 CARILLON CIR, LIVINGSTON, NJ 07039-2600
(407) 274-4029
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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