Organization
RUTHERFORD SWIM ASSOCIATION INC.
Active
Other names
Rutherford Swim Association
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LAZZARA (PRESIDENT)
(732) 567-9739
Entity
Organization
Contact information
Practice address
56 ELLIOTT PL, RUTHERFORD, NJ 07070-1965
(732) 567-9739
Mailing address
128 CHESTNUT ST, RUTHERFORD, NJ 07070-1944
(732) 567-9739
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
385HR2050X
Respite Care Camp
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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