Provider First Line Business Practice Location Address:
DELAIRE NURSING AND CONVALESCENT CENTER
Provider Second Line Business Practice Location Address:
400 WEST STIMPSON AVE
Provider Business Practice Location Address City Name:
LINDEN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07036-4499
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-862-3399
Provider Business Practice Location Address Fax Number:
908-862-6967
Provider Enumeration Date:
02/24/2009