The Well Balanced Senior Program in East Orange - Community Health
The Well Balanced Senior Program - NPI 1457515207
The Well Balanced Senior Program is a Community Health in East Orange, New Jersey. The Well Balanced Senior Program practices all healthcare services and medical treatments related to Community Health. The NPI Number for The Well Balanced Senior Program is 1457515207. The last update date is 2009-11-23.
The Well Balanced Senior Program's current location address is 111 South Munn Ave, East Orange, New Jersey. You can contact this provider via phone number 9082965258 and fax number 9737320460. The mailing address for The Well Balanced Senior Program is 111 South Munn Ave, East Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Well Balanced Senior Program |
|---|---|
| Address | 111 South Munn Ave, East Orange, New Jersey |
| Phone Number | 9082965258 |
| Fax Number | 9737320460 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Larkins Denise Shelly |
| Telephone Number | 9082965258 |
NPI Number Detail
| NPI Number | 1457515207 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2009-11-23 |
Provider Mailing Address Detail
| Address | 111 South Munn Ave |
|---|---|
| City | East Orange |
| State | New Jersey (NJ) |
| Post Code | 7018 |
| Phone Number | 9082965258 |
| Fax Number | 9737320460 |
Provider's Primary Taxonomy Detail
| Speciality | Community Health |
|---|---|
| Taxonomy | 261Qc1500X |
| Licence No | 400239766 |
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Definition: Provides primary medical, dental, mental health, social and preventive services tailored to its community. |
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What is the unique identifier code issued to The Well Balanced Senior Program by the Centers for Medicare & Medicaid Services?
The The Well Balanced Senior Program has been assigned the NPI (National Provider Identifier) 1457515207. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of The Well Balanced Senior Program?
The The Well Balanced Senior Program is physically situated at 111 South Munn Ave, in the city of East Orange, state of NJ, with the postal code 7018.
What is The Well Balanced Senior Program's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for The Well Balanced Senior Program is Community Health, and the corresponding taxonomy classification code for this specialized field is 261Qc1500X.
When was the The Well Balanced Senior Program's 1457515207 issued?
The The Well Balanced Senior Program's 1457515207 was issued on 2008-07-10.
As of what date were the The Well Balanced Senior Program's details last updated?
The information pertaining to the The Well Balanced Senior Program, including its address, specialty, and other details, was most recently updated on 2009-11-23.
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