Innova Gloucester Deptford Bridge Operations LLC
NPI #1407124837 in Deptford, New Jersey
Provider Information
- NPI Number
- 1407124837
- Entity Type
- Organization
- Organization Name
- Innova Gloucester Deptford Bridge Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 13, 2011
- Last Updated
- Dec 31, 2019
Practice Location
- Address
- 1511 CLEMENTS BRIDGE RD
- City
- Deptford
- State
- New Jersey
- ZIP Code
- 08096-3007
- Phone
- (718) 931-9700
Authorized Official
- Name
- MR. DARYL HAGLER
- Title
- MEMBER
- Phone
- (718) 931-9700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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