Wiley Christian Adult Day Services, INC.
Clinic/Center, Adult Day Care in Pennsauken, NJ. Organization (NPI-2).
NPI number1528059656
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1528059656
- Entity type
- Organization (NPI-2)
- Legal business name
- Wiley Christian Adult Day Services, INC.
- Organization subpart
- No
- Enumeration date
- Oct 28, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | 080473 | NJ | Yes |
Practice location
6103 Westfield AvePennsauken, NJ 08110-1754
Phone 856-486-9737 · Fax 856-486-1098
Mailing address
99 E Main StMarlton, NJ 08053-2122
Phone 856-983-0411 · Fax 856-985-4655
Authorized official
Gary F Gilmore
Ceo
8569830411
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