Individual
AMBER ELEAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 MEETINGHOUSE CIR, SICKLERVILLE, NJ 08081-4881
(215) 609-9677
Mailing address
7368 RUGBY ST, PHILADELPHIA, PA 19138-1209
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/29/2024
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