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NPI Code Detail

MEDICARE: CADBURY AT CHERRY HILL

MEDICARE: CADBURY AT CHERRY HILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility15A005NJ
2314000000XSkilled Nursing Facility060409NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669479796
Entity Type Code : Organization
Provider Name (Legal Business Name) : CADBURY AT CHERRY HILL
Provider Business Mailing Address
First Line : 2150 ROUTE 38
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08002-4302
Country : US
Telephone Number : 856-667-4550
Fax Number : 856-667-3653
Provider Business Practice Location Address
First Line : 2150 ROUTE 38
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08002-4302
Country : US
Telephone Number : 856-667-4550
Fax Number : 856-667-3653
Authorized Official
Title or Position : CFO
Name : MR. JOHN KOLODZIEJ
Credential :
Telephone Number : 856-382-4033
Provider Enumeration Date : 07/05/2005
Last Update Date : 03/29/2012

Similar Medicare Providers

1699785766 — MRS. HEATHER D BRONSON SLP
Practice Location Address:
2150 ROUTE 38
CHERRY HILL, NJ
08002-4302
Practice Phone: 856-667-4550
Practice Fax:
1083836514 — GAIL S TUMOLO PTA
Practice Location Address:
2150 ROUTE 38
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1043432362 — SUSAN WHARTON PTA
Practice Location Address:
2150 ROUTE 38
CHERRY HILL, NJ
08002-4302
Practice Phone: 856-667-4550
Practice Fax:
1316169626 — MRS. NICOLE MICHELE DRESSER OTR
Practice Location Address:
2150 ROUTE 38
CHERRY HILL, NJ
08002-4302
Practice Phone: 856-667-4550
Practice Fax:
1750593406 — ADEBOLA ADENIKE ABIOLA PT
Practice Location Address:
2150 ROUTE 38
CHERRY HILL, NJ
08002-4302
Practice Phone: 856-667-4550
Practice Fax: 856-667-3507
1205049400 — TIFFANY GABRIELLE LEECH OTRL
Practice Location Address:
2150 ROUTE 38
CHERRY HILL, NJ
08002-4302
Practice Phone: 856-667-4550
Practice Fax:

Directions to “CADBURY AT CHERRY HILL ” Practice Location

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