Organization
SELAH ADULT CARE CORPORATION
Active
Other names
Selah Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENE TRANQUILLI CDP, CDCM, CADDCT (CHIEF OPERATING OFFICER)
(908) 797-7193
Entity
Organization
Contact information
Practice address
133 FOURTH STREET, BELVIDERE, NJ 07823
(908) 797-7193
(877) 627-7787
Mailing address
133 FOURTH STREET, BELVIDERE, NJ 07823
(908) 797-7193
(877) 627-7787
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
D35026
NJ
385H00000X
Respite Care
D35026
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D35026
FACILITY LICENSE NUMBER
NJ
Enumeration date
09/22/2016
Last updated
09/22/2016
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