Organization
WILEY MISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR FLAMINI (CFO)
(856) 983-0411
Entity
Organization
Contact information
Practice address
99 E MAIN ST, MARLTON, NJ 08053-2122
(856) 983-0411
Mailing address
99 E MAIN ST, MARLTON, NJ 08053-2122
(856) 983-0411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030307
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8571104
—
NJ
Enumeration date
03/02/2007
Last updated
07/21/2008
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