Organization
ELMWOOD EVESHAM ASSOCIATES, LLC
Active
Other names
Care One at Evesham
Organization subpart
No
Provider details
NPI number
Authorized official
MR. A. ALBERTO LUGO (EXECUTIVE VP & GENERAL COUNSEL)
(201) 242-4000
Entity
Organization
Contact information
Practice address
870 EAST ROUTE 70, MARLTON, NJ 08053
(856) 396-0005
(856) 396-0004
Mailing address
870 EAST ROUTE 70, MARLTON, NJ 08053
(856) 396-0005
(856) 396-0004
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8299901
—
NJ
Enumeration date
07/18/2005
Last updated
08/19/2015
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