Healthcare Provider Details

I. General information

NPI: 1851628184
Provider Name (Legal Business Name): THE GARDEN ADHC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2009
Last Update Date: 11/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 MAIN ST FIRST FLOOR
HACKENSACK NJ
07601-7124
US

IV. Provider business mailing address

709 13TH ST
UNION CITY NJ
07087-6215
US

V. Phone/Fax

Practice location:
  • Phone: 201-736-6428
  • Fax:
Mailing address:
  • Phone: 201-736-6428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DORIS SUAREZ
Title or Position: C.E.O./ MANAGING PARTNER
Credential: NJCALA
Phone: 201-736-6428