Healthcare Provider Details

I. General information

NPI: 1841832482
Provider Name (Legal Business Name): PERFECTING LIFE COMMUNITY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2019
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 BELMONT AVE
HALEDON NJ
07508-1477
US

IV. Provider business mailing address

142 E MAPLE ST
TEANECK NJ
07666-3800
US

V. Phone/Fax

Practice location:
  • Phone: 201-528-3611
  • Fax:
Mailing address:
  • Phone: 973-641-9845
  • 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: MR. LLOYD BROWN
Title or Position: OWNER
Credential:
Phone: 973-641-9845