Organization
WILEY CHRISTIAN ADULT DAY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY F GILMORE (CEO)
(856) 983-0411
Entity
Organization
Contact information
Practice address
6103 WESTFIELD AVE, PENNSAUKEN, NJ 08110-1754
(856) 486-9737
(856) 486-1098
Mailing address
99 E MAIN ST, MARLTON, NJ 08053-2122
(856) 983-0411
(856) 985-4655
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
080473
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012122
—
NJ
Enumeration date
10/28/2005
Last updated
08/22/2020
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