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Organization

JAY SHREE KRISHNA LLC

Active
Other names
Peaceful Adult Day Care
Organization subpart
No

Provider details

NPI number
Authorized official
NITA K PANCHAL (MEMBER)
(973) 202-5072
Entity
Organization

Contact information

Practice address
101 INDUSTRIAL AVE, LITTLE FERRY, NJ 07643-1901
(973) 202-5072
(973) 882-3162
Mailing address
101 INDUSTRIAL AVE, LITTLE FERRY, NJ 07643-1901
(973) 202-5072
(973) 882-3162

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
261QA0600X
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261QA0600X
NJ
Enumeration date
06/27/2014
Last updated
06/27/2014
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