West Elm Supports
Organization Active NPI Adult Companion · Mantua, NJ
NPI 1982483087 · NPPES record last updated Sep 27, 2023
Key facts
- NPI
- 1982483087
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Companion 372600000X
- Legal business name
- WEST ELM SUPPORTS
- Practice address
- 117 W Elm Ave
Mantua, NJ 08051-1509 - Phone
- (856) 472-2713
- NPI assigned
- Sep 27, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. Jason Mathew Clark
- Title
- Owner
- Phone
- (856) 472-2713
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion |
372600000X | Yes |
Addresses
Primary practice location
117 W Elm Ave
Mantua, NJ 08051-1509
Mailing address
117 W Elm Ave
Mantua, NJ 08051-1509
Phone (856) 472-2713
Other providers in Mantua, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.