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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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