Organization
CAVALIER SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE LIDING (OWNER)
(609) 607-8307
Entity
Organization
Contact information
Practice address
2 HOLLYWOOD BLVD., UNIT 5, FORKED RIVER, NJ 08731
(609) 607-8300
(609) 607-8307
Mailing address
2 HOLLYWOOD BLVD., UNIT 5, FORKED RIVER, NJ 08731
(609) 607-8300
(609) 607-8307
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0031100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9001808
—
NJ
Enumeration date
01/08/2007
Last updated
09/19/2019
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