Organization
ADVANCE DIVINE HEALTHCARE INC
Active
Organization
ADVANCE DIVINE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CELESTINE U OHALE MR (ADMINISTRATOR)
(732) 447-4085
Entity
Organization
Contact information
Practice address
191 BERKELEY TER, PLAINFIELD, NJ 07062-1516
(732) 354-3313
(732) 354-3314
Mailing address
138 LAWRENCE ST, NEW BRUNSWICK, NJ 08901-3161
(732) 447-4085
(732) 354-3314
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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