NPI 1093578312

Aillise Community Home LLC

Organisation Lodging Provider Blackwood, NJ

Practice location

Address: 5051 Route 42, Blackwood, NJ 08012-1779
Phone: (856) 885-0558
Mailing address: 801 Galleria Dr, Williamstown, NJ 08094-6343

Authorised official

Name: Aillise Bonhomme
Title: Ceo
Phone: (862) 252-1495

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

Other Lodging providers in New Jersey →

Registry record

NPI: 1093578312
Entity type: Organization
NPI issued: 31 Jan 2024
Record last updated: 31 Jan 2024

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.