Healthcare Provider Details

I. General information

NPI: 1275496408
Provider Name (Legal Business Name): MAY LILY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

971 US HIGHWAY 202 N # 8277 #8277
BRANCHBURG NJ
08876-3757
US

IV. Provider business mailing address

971 US HIGHWAY 202 N # 8277
BRANCHBURG NJ
08876-3757
US

V. Phone/Fax

Practice location:
  • Phone: 609-328-8292
  • Fax:
Mailing address:
  • Phone: 609-328-8292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIA EBO ADEDAYO
Title or Position: CEO
Credential: PMHNP
Phone: 609-328-8292