Organization
SL MILLVILLE, LLC
Active
Other names
Maurice House
Organization subpart
No
Provider details
NPI number
Authorized official
RITA RIVERA-WORLEY (EXECUTIVE DIRECTOR)
(856) 825-4002
Entity
Organization
Contact information
Practice address
1719 W MAIN ST, MILLVILLE, NJ 08332-4632
(856) 825-4002
(856) 327-2037
Mailing address
1719 W MAIN ST, MILLVILLE, NJ 08332-4632
(856) 825-4002
(856) 327-2037
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
90108
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0457761
—
NJ
Enumeration date
02/11/2015
Last updated
06/12/2015
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