Organization Name: | GENERAL HEALTHCARERESORCES,INC |
NPI Number: | 1154530624 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLA M DEVANE (LPN) |
Mailing Address: | 215 N New York Ave A Atlantic City |
State: | NJ US |
Postal Code: | 084014463 |
Phone Number: | 6093486479 |
Fax Number: | 6108347525 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 26NP03186100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |