Organization
PERIDOT ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJ BHARADWAJ (PARTNER)
(732) 429-4989
Entity
Organization
Contact information
Practice address
2408 HIGH ST, PORT NORRIS, NJ 08349-3239
(732) 429-4989
Mailing address
2408 HIGH ST, PORT NORRIS, NJ 08349-3239
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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