| Prasada In Home | |
|
112 E Shawnee Trl Wharton NJ 07885-2920 | |
| (973) 685-5668 | |
| (866) 686-3057 |
| Full Name | Prasada In Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 112 E Shawnee Trl, Wharton, New Jersey |
| Authorized Official Name and Position | Katherine V Sheldon (OWNER/DIRECTOR) |
| Authorized Official Contact | 9736855668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prasada In Home 112 E Shawnee Trl Wharton NJ 07885-2920 Ph: (973) 685-5668 | Prasada In Home 112 E Shawnee Trl Wharton NJ 07885-2920 Ph: (973) 685-5668 |
| NPI Number | 1477058568 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 03/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477058568 | NPI | - | NPPES |
| 0489981 | Medicaid | NJ | |
| 0532614 | Medicaid | NJ |
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