| Avie Ida's Enterprises Llc | |
|
1 Carrie Place Sicklerville NJ 08081 | |
| (215) 380-5441 | |
| Not Available |
| Full Name | Avie Ida's Enterprises Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 Carrie Place, Sicklerville, New Jersey |
| Authorized Official Name and Position | Jessica Kathline Coursey (OWNER) |
| Authorized Official Contact | 2672167239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avie Ida's Enterprises Llc 1 Carrie Place Sicklerville NJ 08081 Ph: (215) 380-5441 | Avie Ida's Enterprises Llc 1 Carrie Place Sicklerville NJ 08081 Ph: (215) 380-5441 |
| NPI Number | 1295423648 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295423648 | NPI | - | NPPES |
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