Organization
EVERLASTING MIRACLES HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W ANDERS (OWNER)
(856) 308-8805
Entity
Organization
Contact information
Practice address
919 MANTUA BLVD, SEWELL, NJ 08080-1354
(856) 308-8805
Mailing address
919 MANTUA BLVD, SEWELL, NJ 08080-1354
(856) 308-8805
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8563088805
—
NJ
Enumeration date
10/25/2022
Last updated
10/09/2023
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