| Elaines Way Llc | |
|
703 Stokes Rd. Medford NJ 08055 | |
| (609) 346-2485 | |
| Not Available |
| Full Name | Elaines Way Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 703 Stokes Rd., Medford, New Jersey |
| Authorized Official Name and Position | Angela Johnson (OWNER) |
| Authorized Official Contact | 6093462485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaines Way Llc 2230 Route 70 W Ste 2 Cherry Hill NJ 08002-3338 Ph: (609) 346-2485 | Elaines Way Llc 703 Stokes Rd. Medford NJ 08055 Ph: (609) 346-2485 |
| NPI Number | 1043175797 |
|---|---|
| Provider Enumeration Date | 12/16/2025 |
| Last Update Date | 12/16/2025 |
| Certification Date | 12/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043175797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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