Endeavor House

NPI 1306912514 - Clinic/Center - 261QR0405X

NPI Details
NPI 1306912514
Enumeration Date 11/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROSEMARY ROSEMARY
Position CEO
Phone (732) 264-3824
Fax (732) 264-6497
Practice Location
NO 6 BROADWAY
KEYPORT NJ, 07735, US
Phone (732) 264-3824
Fax (732) 264-6497
Business Location
PO BOX 28
6 BROADWAY
KEYPORT NJ, 07735, US
Phone (732) 264-3824
Fax (732) 264-6497
Toxanomy
Taxonomy Code 261QR0405X
License State
License Number
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According to our database, Endeavor House NPI is 1306912514, taxonomy code is 261QR0405X Endeavor House physically located at No 6 Broadway, Keyport NJ, 07735. NPI Number 1033115704 has the healthcare provider type.

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1306912514 NPI number is provided on an as is basis without warranty of any kind. 1306912514 is maintained by the National Plan & Provider Enumeration System. The contents of Endeavor House are for informational purposes only.