Individual
MARIO JR MILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HEALTH ADULT DAYCARE
Contact information
Practice address
114 WASHINGTON AVENUE, BELLEVILLE, NJ 07109
(973) 429-0525
(973) 751-7704
Mailing address
114 WASHINGTON AVENUE, BELLEVILLE, NJ 07109
(973) 336-4968
(973) 751-7704
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831417720
—
NJ
Enumeration date
08/14/2018
Last updated
11/15/2018
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