Healthcare Provider Details

I. General information

NPI: 1538286182
Provider Name (Legal Business Name): EVERYONES PERSONAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 HEARTHSTONE DR
BERLIN NJ
08009-9550
US

IV. Provider business mailing address

7905 BROWNING RD SUITE 220
PENNSAUKEN NJ
08109-4323
US

V. Phone/Fax

Practice location:
  • Phone: 609-220-1184
  • Fax:
Mailing address:
  • Phone: 609-220-1184
  • Fax: 856-317-1926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number158332
License Number StateNJ

VIII. Authorized Official

Name: MS. PAULA BOYD
Title or Position: OWNER
Credential:
Phone: 609-220-1184