Healthcare Provider Details

I. General information

NPI: 1528982154
Provider Name (Legal Business Name): AGD NURSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 HOLDEN RD
CHERRY HILL NJ
08034-1730
US

IV. Provider business mailing address

8 HOLDEN RD
CHERRY HILL NJ
08034-1730
US

V. Phone/Fax

Practice location:
  • Phone: 856-952-6058
  • Fax:
Mailing address:
  • Phone: 856-952-6058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. AVARETTA DAVIS
Title or Position: EXECUTIVE DIRECTOR
Credential: DNP
Phone: 856-952-6058