Pennsville Al, LLC
NPI #1043068919 in Pennsville, New Jersey
Provider Information
- NPI Number
- 1043068919
- Entity Type
- Organization
- Organization Name
- Pennsville Al, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 7, 2024
- Last Updated
- May 7, 2024
Practice Location
- Address
- 39 SUPAWNA RD
- City
- Pennsville
- State
- New Jersey
- ZIP Code
- 08070-9657
- Phone
- (856) 339-0100
Authorized Official
- Name
- STEPHEN LEVY
- Title
- AGENT FOR OWNER
- Phone
- (312) 673-4387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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