Whalio Doctors

NPI 1497133094

South Jersey Behavioral Health Resources

Organisation Mental Illness Intermediate Care Facility Pennsauken, NJ

Practice location

Address
2500 McClellan Ave STE 300, Pennsauken, NJ 08109-0001
Phone
(856) 361-1100
Mailing address
7 Hickory CT APT C, Maple Shade, NJ 08052-1950

Authorised official

Name
Delilah Dragon
Title
Lpn
Phone
(856) 577-3964

Registered specialties (2)

Mental Illness Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 26NP05603800 (NJ)
Skilled Nursing Facility
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 26NP05063800 (NJ)

Registry record

NPI
1497133094
Entity type
Organization
NPI issued
14 May 2015
Record last updated
14 May 2015

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.