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Organization

PROVIDENCE CARE, LLC

Active
Other names
Elite Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SIMON FRIDMANN (OWNER)
(732) 942-6400
Entity
Organization

Contact information

Practice address
80 W UPPER FERRY RD, EWING, NJ 08628-2736
(732) 942-6400
Mailing address
80 W UPPER FERRY RD, EWING, NJ 08628-2736
(732) 942-6400

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
NJ

Other

Enumeration date
02/04/2008
Last updated
02/04/2008
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