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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