Organization
FIVE STAR ADULT MEDICAL DAY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SVETLANA MARYASH (MANAGING MEMBER)
(908) 486-5750
Entity
Organization
Contact information
Practice address
1201 DEERFIELD TER, LINDEN, NJ 07036-5523
(908) 486-5750
(908) 486-3325
Mailing address
1201 DEERFIELD TER, LINDEN, NJ 07036-5523
(908) 486-5750
(908) 486-3325
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
908112
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034878
—
NJ
Enumeration date
02/13/2007
Last updated
08/22/2020
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