| La Villa Agency | |
|
100-102 Passaic Street Passaic NJ 07055 | |
| (973) 928-2280 | |
| (973) 928-2281 |
| Full Name | La Villa Agency |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 100-102 Passaic Street, Passaic, New Jersey |
| Authorized Official Name and Position | Jenny Rivera (CEO) |
| Authorized Official Contact | 9732307181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Villa Agency 663 Mount Prospect Ave Ste 2 100-102 Passaic St., Passaic, Nj 07055 Newark NJ 07104-3166 Ph: (973) 230-7181 | La Villa Agency 100-102 Passaic Street Passaic NJ 07055 Ph: (973) 928-2280 |
| NPI Number | 1760709513 |
|---|---|
| Provider Enumeration Date | 05/03/2010 |
| Last Update Date | 05/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760709513 | NPI | - | NPPES |
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