Organization
LIFE AT SAINT MICHAEL'S INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WOOD (EXECUTIVE DIRECTOR)
(973) 465-2710
Entity
Organization
Contact information
Practice address
155 JEFFERSON ST, NEWARK, NJ 07105-1706
(973) 465-2710
Mailing address
155 JEFFERSON ST, NEWARK, NJ 07105-1706
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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