Organization
ATLANTICARE HEALTH SERVICES, INC.
Active
Parent organization
ATLANTICARE HEALTH SERVICES, INC.
Other names
AtlantiCare LIFE Connection
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTICARE HEALTH SERVICES, INC.
Authorized official
MR. ALEX CASIANO (EXECUTIVE DIRECTOR)
(609) 407-2052
Entity
Organization
Contact information
Practice address
1401 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-7022
(609) 407-2052
Mailing address
2500 ENGLISH CREEK AVE, EGG HARBOR TOWNSHIP, NJ 08234-5549
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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