The Well Balanced Senior Program
NPI #1457515207 in East Orange, New Jersey
Provider Information
- NPI Number
- 1457515207
- Entity Type
- Organization
- Organization Name
- The Well Balanced Senior Program
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Jul 10, 2008
- Last Updated
- Nov 23, 2009
Practice Location
- Address
- 111 SOUTH MUNN AVE
- Address 2
- SUITE 2A
- City
- East Orange
- State
- New Jersey
- ZIP Code
- 07018
- Phone
- (908) 296-5258
Authorized Official
- Name
- SHELLY DENISE LARKINS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (908) 296-5258
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Clinic/Center - Community Health — Community Health |
| Community Health Worker |
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