Organization
LIVING SANCTUARY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUKE OLANIYI ONI M.D (PRESIDENT)
(856) 986-8237
Entity
Organization
Contact information
Practice address
223 GARFIELD AVE, CHESILFURST, NJ 08096-3252
(856) 986-8237
Mailing address
4 MAHLEY AVE, WEST DEPTFORD, NJ 08096-3252
(856) 986-8237
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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