Organization
MG DG RG LLC
Active
Organization
MG DG RG LLC
Active
Other names
dba Comfort Keepers of Haddonfield
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C GRIM PSY.D./CSA (OWNER)
(856) 857-6120
Entity
Organization
Contact information
Practice address
241 KINGS HIGHWAY EAST, 1ST FLOOR, HADDONFIELD, NJ 08033
(856) 857-6120
(856) 428-0196
Mailing address
241 KINGS HIGHWAY EAST, 1ST FLOOR, HADDONFIELD, NJ 08033
(856) 857-6120
(856) 428-0196
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
HP0149900
NJ
374U00000X
Home Health Aide
Primary
HP0149900
NJ
376J00000X
Homemaker
HP0149900
NJ
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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