Organization
BUCKINGHAM ADULT MEDICAL DAY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRISTIMINA PEARSON BACSW (ADMINISTRATOR)
(973) 907-3875
Entity
Organization
Contact information
Practice address
316 N 6TH ST, PROSPECT PARK, PROSPECT PARK, NJ 07508-2122
(973) 904-3875
(973) 904-1477
Mailing address
316 N 6TH ST, PROSPECT PARK, PROSPECT PARK, NJ 07508-2122
(973) 904-3875
(973) 904-1477
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
708113
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124834
—
NJ
Enumeration date
05/18/2007
Last updated
08/22/2020
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