Good Shepard Adult Day Care LLC
Clinic/Center, Adult Day Care in Lyndhurst, NJ. Organization (NPI-2).
NPI number1528291663
StatusActive
Last updated in NPPESAug 24, 2009
Details
- NPI
- 1528291663
- Entity type
- Organization (NPI-2)
- Legal business name
- Good Shepard Adult Day Care LLC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2009
- Last updated
- Aug 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | 02007 | NJ | Yes |
Practice location
725 Valley Brook AveLyndhurst, NJ 07071-2030
Phone 201-933-0711 · Fax 201-933-0611
Mailing address
725 Valley Brook AveLyndhurst, NJ 07071-2030
Phone 201-933-0711 · Fax 201-933-0611
Authorized official
Ragae Wassef
President
9739305687
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.