NPI 1003108556

Solid Rock Foundation Center, LLC

Organisation Home Health Agency Mizpah, NJ

Practice location

Address: 1288 Key West Ave, Mizpah, NJ 08342
Phone: (609) 616-2166

Authorised official

Name: Ethel Gaylord
Title: MSW, Owner
Phone: (609) 616-2166

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence 1633550 (NJ)

Other Home Health providers in New Jersey →

Registry record

NPI: 1003108556
Entity type: Organization
NPI issued: 3 May 2011
Record last updated: 3 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.