31D2197158 CLIA NUMBER - TERRACES AT PARKE PLACE

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Laboratory Demographics

CLIA Number: 31D2197158

Facility Name: TERRACES AT PARKE PLACE

Facility Address:
661 DELSEA DRIVE
SEWELL, NJ
ZIP 08080
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Facility Phone Number: 856 256-1776

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1871643148

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	31D2197158
LAB Type	Assisted Living Facility
Facility Name	TERRACES AT PARKE PLACE
Street	661 DELSEA DRIVE
City	SEWELL
State	NJ
ZIP	08080
Phone	856 256-1776
CertificateType	4
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024