Individual
MRS. ROSEMUNDE MARCIA CHRISTINE PERCIVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLC OWNER
Contact information
Practice address
555 COLES MILL RD APT 101, HADDONFIELD, NJ 08033-1079
(856) 203-4223
Mailing address
555 COLES MILL RD APT 101, HADDONFIELD, NJ 08033-1079
(856) 203-4223
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
NA
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-5116681
—
NJ
Enumeration date
01/22/2019
Last updated
01/22/2019
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