The Well Balanced Senior Program
The Well Balanced Senior Program is a Community Health Worker in East Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.
- Licensed in
- NJ
- In the registry since
- 2008
- Specialties on file
- 3
Practice location Address checks out
111 S Munn Ave Ste 2AEast Orange, NJ 07018
Phone: (908) 296-5258
Fax: (973) 732-0460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence 0400239766 (NJ) |
|---|---|
| Home Health Agency | Taxonomy 251E00000X · Licence HP0135400 (NJ) |
| Community Health Clinic/Center | Taxonomy 261QC1500X · Licence 0400239766 (NJ) |
Record details
| NPI number | 1457515207 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shelly Larkins — Executive Director · (908) 296-5258 |
| NPI enumerated | July 10, 2008 |
| Last updated in NPPES | November 23, 2009 |
| Mailing address | 111 South Munn Ave, Suite 2a, East Orange, NJ 07018 |
Other providers in East Orange
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Royleta Foster, MED
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-
Twiana Searles
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-
Samriddhi Sharma
134 Evergreen Pl Ste 300, East Orange, NJ 07018-2010 · (862) 245-1106