Wiley Mission
LBN: Wiley Mission
Wiley Mission is an health care organization with primary practice located at 99 E Main St , Marlton NJ 08053-2122. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Wiley Mission can be contacted via phone (856) 983-0411, or through Gilmore, Gary F via phone (856) 983-0411.
Contact Information
Primary practice address
99 E Main St
Marlton NJ 08053-2122
Phone: (856) 983-0411
Fax: (856) 985-4655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Custodial Care Facility | 311Z00000X | 153335 | New Jersey |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 030307 | New Jersey |
Profile Details
| NPI number | 1023009156 |
|---|---|
| LBN Legal business name | Wiley Mission |
| DBA Doing business as | |
| Authorized official | Gilmore, Gary F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Apr 27th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023009156 | NPPES |
| New Jersey | MEDICAID | 4466900 |
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