Mi Casa Es Su Casa II
NPI #1225228299 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1225228299
- Entity Type
- Organization
- Organization Name
- Mi Casa Es Su Casa II
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Jul 26, 2007
- Last Updated
- Jul 26, 2007
Practice Location
- Address
- 30 S MAPLE AVE
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-4508
- Phone
- (201) 652-8434
Authorized Official
- Name
- DR. ANTONIO GINES, MD
- Title
- OWNER/CEO
- Phone
- (201) 652-8434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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