Restore Life Home Care LLC
Physical Therapist in Mays Landing, NJ. Organization (NPI-2).
NPI number1255664355
StatusActive
Last updated in NPPESSep 8, 2009
Details
- NPI
- 1255664355
- Entity type
- Organization (NPI-2)
- Legal business name
- Restore Life Home Care LLC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2009
- Last updated
- Sep 8, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01095400 | NJ | Yes |
Practice location
1932 Cologne AveL-1
Mays Landing, NJ 08330-2441
Phone 609-233-5056
Mailing address
1932 Cologne AveL-1
Mays Landing, NJ 08330-2441
Phone 609-233-5056
Authorized official
Ronaldo Portuguez
Manager
6092335056
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