Organization
SILVERADO CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIN FORESTA (PRESIDENT)
(866) 333-1511
Entity
Organization
Contact information
Practice address
4 CORNWALL DR, SUITE 105, EAST BRUNSWICK, NJ 08816-3332
(866) 333-1511
(732) 967-0095
Mailing address
4 CORNWALL DR, SUITE 105, EAST BRUNSWICK, NJ 08816-3332
(866) 333-1511
(732) 967-0095
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0026100
NJ
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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