Organization
FORKIDCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY PIZZICHILLO LNHA (ADMINISTRATOR)
(856) 346-3300
Entity
Organization
Contact information
Practice address
1304 LAUREL OAK RD, VOORHEES, NJ 08043-4310
(856) 346-3300
Mailing address
1304 LAUREL OAK RD, VOORHEES, NJ 08043-4310
(856) 346-3300
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
060416
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4470001
—
NJ
Enumeration date
04/28/2006
Last updated
05/23/2024
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