Organization
IVQ GLASSBORO OPCO, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT HIGGS (CHIEF FINANCIAL OFFICER)
(317) 643-6402
Entity
Organization
Contact information
Practice address
3152 GLASSBORO CROSS KEYS RD, GLASSBORO, NJ 08028-2723
(856) 347-2084
Mailing address
211 W MAIN ST STE 400, CARMEL, IN 46032-1759
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
02/19/2020
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