Organization
POSITIVE PAIRING HEALTH MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HATTIE ELIZABETH JOHNSON (DIRECTOR)
(973) 373-7300
Entity
Organization
Contact information
Practice address
128 IVY ST, NEWARK, NJ 07106-2904
(973) 373-7300
(973) 373-4202
Mailing address
128 IVY ST, NEWARK, NJ 07106-2904
(973) 373-7300
(973) 373-4202
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
06-03-07-16
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153346
—
NJ
Enumeration date
01/16/2009
Last updated
01/16/2009
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