Organization
MERCYLIFE NJ LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CASSELBERRY (MANAGING MEMBER)
(609) 377-1351
Entity
Organization
Contact information
Practice address
28 CAMBRIA AVE, PLEASANTVILLE, NJ 08232-2204
(609) 484-8227
Mailing address
28 CAMBRIA AVE, PLEASANTVILLE, NJ 08232-2204
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
100616
NJ
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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