Organization
SENIOR SKIN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA ERRICKSON MD (OWNER)
(908) 391-2548
Entity
Organization
Contact information
Practice address
198 CHANGEWATER ROAD, CHANGEWATER, NJ 07831
(908) 391-2548
Mailing address
198 CHANGEWATER ROAD, PO BOX 14, CHANGEWATER, NJ 07831
(908) 391-2548
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
25MA066807000
NJ
Other
Enumeration date
12/15/2014
Last updated
02/13/2015
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