Organization
LAN DEPTFORD, LLC
Active
Other names
Fox Trail at Tall Pines
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD THOMPSON (MEMBER)
(540) 364-0155
Entity
Organization
Contact information
Practice address
1674 DELSEA DRIVE, WOODBURY, NJ 08096-4117
(856) 209-4956
Mailing address
38 N. CENTRAL AVENUE, RAMSEY, NJ 07466
(201) 368-7070
(201) 368-7060
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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