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Organization

LA PAULA MANOR CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELVIN PALICAS (SHAREHOLDER)
(201) 914-9298
Entity
Organization

Contact information

Practice address
25 S PAULA DR, BERGENFIELD, NJ 07621-3511
(201) 914-9298
Mailing address
25 S PAULA DR, BERGENFIELD, NJ 07621-3511

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
05/05/2022
Last updated
05/05/2022
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