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Organization

NJ DHS DIVISION OF AGING SERVICES

Active
Parent organization
STATE OF NEW JERSEY
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF NEW JERSEY
Authorized official
MR. WALTER VALORA (CHIEF FINANCIAL OFFICER)
(609) 588-2841
Entity
Organization

Contact information

Practice address
12D QUAKERBRIDGE PLZ, ROOM D06, MERCERVILLE, NJ 08619-1241
(609) 588-6537
Mailing address
12D QUAKERBRIDGE PLZ, MERCERVILLE, NJ 08619-1241
(609) 588-6537

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
03/20/2017
Last updated
03/20/2017
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