Healthcare Provider Details
I. General information
NPI: 1992241475
Provider Name (Legal Business Name): RGS OPERATING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2017
Last Update Date: 01/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
80 W UPPER FERRY RD
EWING NJ
08628-2736
US
IV. Provider business mailing address
80 W UPPER FERRY RD
EWING NJ
08628-2736
US
V. Phone/Fax
- Phone: 609-883-0020
- Fax: 609-883-7770
- Phone: 609-883-0020
- Fax: 609-883-7770
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | NJ |
VIII. Authorized Official
Name:
DAVID
SILVERBERG
Title or Position: PRESIDENT
Credential:
Phone: 609-883-0020