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General NPI Number Information
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NPI Number | 1053456012
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Entity Type | Organization
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Legal Business Name | GENERATIONS ADULT DAY HEALTH SERVICES LLC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 40 E NEW YORK AVE
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2341
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Country | US
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Telephone | 609-653-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 40 E NEW YORK AVE
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2341
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Country | US
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Telephone | 609-653-9700
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER,OWNER,ADMIN
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Name | MRS. CHRISTA A CALDARALE-AHEARN
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Credential | RN, MS
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Telephone | 609-653-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 018101
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License Number State | NJ
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