Organization
MENDING COVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELINDA TAYLOR BA, MSP (OWNER)
(856) 803-9958
Entity
Organization
Contact information
Practice address
106 THOMSON AVE, PAULSBORO, NJ 08066-1519
(856) 803-9958
Mailing address
31 THORN LN APT 11, NEWARK, DE 19711-4435
(856) 803-9958
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
03/17/2022
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