Wiley Mission

NPI 1023009156 - Custodial Care Facility - 311Z00000X

NPI Details
NPI 1023009156
Enumeration Date 10/28/2005
Last Updated 04/27/2012
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name GARY F GARY
Position CEO
Phone (856) 983-0411
Fax (856) 985-4655
Practice Location
99 E MAIN ST
MARLTON NJ, 08053-2122, US
Phone (856) 983-0411
Fax (856) 985-4655
Business Location
99 E MAIN ST
MARLTON NJ, 08053-2122, US
Phone (856) 983-0411
Fax (856) 985-4655
Toxanomy
Taxonomy Code 311Z00000X
License State New Jersey
License Number 153335
Remove 1023009156 NPI Number
 

According to our database, Wiley Mission NPI is 1023009156, taxonomy code is 311Z00000X and license number is 153335, license state is located at New Jersey. Wiley Mission physically located at 99 E Main St, Marlton NJ, 08053-2122. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1023009156 NPI number is provided on an as is basis without warranty of any kind. 1023009156 is maintained by the National Plan & Provider Enumeration System. The contents of Wiley Mission are for informational purposes only.