Organization
CHERRY HILL OPCO, LLC
Active
Other names
Residence at Cherry Hill
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO S JAQUES (CONTROLLER)
(781) 619-9327
Entity
Organization
Contact information
Practice address
1979 NJ-70, CHERRY HILL, NJ 08003
(856) 424-7227
Mailing address
1979 NJ-70, CHERRY HILL, NJ 08003
(856) 424-7227
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15A002
NJ LICENSE
NJ
Enumeration date
03/09/2022
Last updated
03/09/2022
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