Provider Demographics
NPI:1760700116
Name:HSH ADULT MEDICAL DAY CARE LLC
Entity Type:Organization
Organization Name:HSH ADULT MEDICAL DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELUCA
Authorized Official - Suffix:
Authorized Official - Credentials:RN# 26NR08830500
Authorized Official - Phone:856-481-4066
Mailing Address - Street 1:860 ROUTE 168
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-3215
Mailing Address - Country:US
Mailing Address - Phone:856-481-4066
Mailing Address - Fax:
Practice Address - Street 1:860 ROUTE 168
Practice Address - Street 2:SUITE 100
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-3215
Practice Address - Country:US
Practice Address - Phone:856-481-4066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR08830500261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care