Organization
EVERGREEN EAST ORANGE, LLC
Active
Other names
East Orange Adult Day Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIVYESH A MEHTA (MANAGER)
(732) 208-4833
Entity
Organization
Contact information
Practice address
88 EVERGREEN PL, EAST ORANGE, NJ 07018-2101
(732) 986-6978
Mailing address
395 NEW DOVER RD, COLONIA, NJ 07067-2703
(732) 986-6978
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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