| Eva's Village, Inc. | |
|
20 Jackson Street Paterson NJ 07501-2815 | |
| (973) 523-6220 | |
| (973) 825-7297 |
| Full Name | Eva's Village, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 20 Jackson Street, Paterson, New Jersey |
| Authorized Official Name and Position | Mark Schmit (CHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9735236220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eva's Village, Inc. 393 Main St Paterson NJ 07501-2815 Ph: (973) 523-6220 | Eva's Village, Inc. 20 Jackson Street Paterson NJ 07501-2815 Ph: (973) 523-6220 |
| NPI Number | 1699018242 |
|---|---|
| Provider Enumeration Date | 04/02/2013 |
| Last Update Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699018242 | NPI | - | NPPES |
| 7199708 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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