Organization
ATLANTIC ADULT DAY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STAN DERVECH (ADMINISTRATOR)
(609) 383-3313
Entity
Organization
Contact information
Practice address
331 TILTON RD STE 2A, NORTHFIELD, NJ 08225-1248
(609) 383-3313
(609) 383-1600
Mailing address
331 TILTON RD STE 2A, NORTHFIELD, NJ 08225-1248
(609) 383-3313
(609) 383-1600
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
NE6M6S
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8923001
—
NJ
Enumeration date
02/09/2007
Last updated
08/22/2020
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