Healthcare Provider Details

I. General information

NPI: 1720442288
Provider Name (Legal Business Name): BEZER ADULT DAYCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 04/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 N DELSEA DR
VINELAND NJ
08360-2184
US

IV. Provider business mailing address

2725 N DELSEA DR
VINELAND NJ
08360-2184
US

V. Phone/Fax

Practice location:
  • Phone: 856-696-4380
  • Fax:
Mailing address:
  • Phone: 856-696-4380
  • 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: DEBRA S HEMPLE
Title or Position: CEO
Credential: RN
Phone: 856-221-3900