OrganizationActive
West Elm Supports
NPI 1982483087 · Adult Companion · Mantua, NJ
Provider details
- NPI number
- 1982483087
- Entity type
- Organization
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Jason Clark, Owner(856) 472-2713
Specialties & taxonomies
Nursing Service Related Providers
Practice location
117 W Elm Ave
Mantua, NJ 08051-1509
Phone: (856) 472-2713
Approximate (ZIP-level) locationGet directions
Mailing address
117 W Elm Ave
Mantua, NJ 08051-1509
Registry dates
- Enumerated
- 2023-09-27
- Last updated
- 2023-09-27
- Certified
- 2023-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.