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Organization

CENTRAL WARD SOCIAL ADULT DAYCARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDRE SPEIGHT PHD (EXECUTIVE DIRECTOR)
(973) 842-5662
Entity
Organization

Contact information

Practice address
167 S 6TH ST, NEWARK, NJ 07103-2408
(973) 842-5662
Mailing address
293 LITTLETON AVE, NEWARK, NJ 07103-2304
(973) 842-5662
(973) 732-0775

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
SOCIAL ADULT DAY CAR
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SOCIAL ADULT DAYCARE
NJ
Enumeration date
03/11/2017
Last updated
03/11/2017
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