NPI 1578320271
Illuminate Care Aba LLC
Practice location
- Address
- 215 Ridge Ave, Lakewood, NJ 08701-3447
- Phone
- (646) 671-3833
Authorised official
- Name
- Isaac Weinberger
- Title
- Manager
- Phone
- (646) 671-3833
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1578320271
- Entity type
- Organization
- NPI issued
- 29 Feb 2024
- Record last updated
- 4 Mar 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.