Provider Demographics
NPI:1467848358
Name:ABDULLAH MANAGEMENT COMPANY
Entity Type:Organization
Organization Name:ABDULLAH MANAGEMENT COMPANY
Other - Org Name:EVERGREEN SOCIAL DAYCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-986-3831
Mailing Address - Street 1:10 DIAMOND CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08823-1604
Mailing Address - Country:US
Mailing Address - Phone:732-986-3831
Mailing Address - Fax:732-297-0344
Practice Address - Street 1:465 GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08609-2107
Practice Address - Country:US
Practice Address - Phone:732-986-3831
Practice Address - Fax:732-297-0344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0408298Medicaid