| Peridot Assisted Living | |
|
2408 High St Port Norris NJ 08349-3239 | |
| (732) 429-4989 | |
| Not Available |
| Full Name | Peridot Assisted Living |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2408 High St, Port Norris, New Jersey |
| Authorized Official Name and Position | Raj Bharadwaj (PARTNER) |
| Authorized Official Contact | 7324294989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peridot Assisted Living 2408 High St Port Norris NJ 08349-3239 Ph: () - | Peridot Assisted Living 2408 High St Port Norris NJ 08349-3239 Ph: (732) 429-4989 |
| NPI Number | 1629694047 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 06/22/2020 |
| Certification Date | 06/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629694047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Wayne Magee Lcadc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1665 North Ave, Port Norris, NJ 08349 Phone: 856-332-0290 |