Healthcare Provider Details

I. General information

NPI: 1760700116
Provider Name (Legal Business Name): HSH ADULT MEDICAL DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2010
Last Update Date: 05/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 ROUTE 168 SUITE 100
TURNERSVILLE NJ
08012-3215
US

IV. Provider business mailing address

860 ROUTE 168 SUITE 100
TURNERSVILLE NJ
08012-3215
US

V. Phone/Fax

Practice location:
  • Phone: 856-481-4066
  • Fax:
Mailing address:
  • Phone: 856-481-4066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number26NR08830500
License Number StateNJ

VIII. Authorized Official

Name: MRS. MARIANNE DELUCA
Title or Position: DIRECTOR OF NURSING/OWNER
Credential: RN# 26NR08830500
Phone: 856-481-4066