Life Fun Therapy
Clinic/Center in Williamstown, NJ. Organization (NPI-2).
NPI number1356925176
StatusActive
Last updated in NPPESMay 7, 2021
Details
- NPI
- 1356925176
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Fun Therapy
- Organization subpart
- No
- Enumeration date
- May 7, 2021
- Certification date
- May 7, 2021
- Last updated
- May 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – |
Practice location
1409 Endingo AveWilliamstown, NJ 08094-8762
Phone 609-970-3354
Mailing address
1409 Endingo AveWilliamstown, NJ 08094-8762
Phone 609-970-3354
Authorized official
Michelle Joan Mora
Owner
6099703354
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