Organization
SEACREST VILLAGE ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE P MEDORA (BUSINESS OFFICE MANAGER)
(609) 296-9292
Entity
Organization
Contact information
Practice address
1001 CENTER ST, LITTLE EGG HARBOR TWP, NJ 08087-1347
(609) 296-9292
(609) 296-0508
Mailing address
1001 CENTER ST, LITTLE EGG HARBOR TWP, NJ 08087-1347
(609) 296-9292
(609) 296-0508
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
658333
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4494717
—
NJ
Enumeration date
12/19/2013
Last updated
12/19/2013
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