Provider Demographics
NPI:1245352905
Name:PROMISE ALTERNATIVE CARE INC
Entity type:Organization
Organization Name:PROMISE ALTERNATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:CONSIDINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-456-1121
Mailing Address - Street 1:146 BLACK HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:MOUNT EPHRAIM
Mailing Address - State:NJ
Mailing Address - Zip Code:08059-2007
Mailing Address - Country:US
Mailing Address - Phone:856-456-1121
Mailing Address - Fax:856-456-1076
Practice Address - Street 1:1149 MARLKRESS RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2317
Practice Address - Country:US
Practice Address - Phone:856-751-4884
Practice Address - Fax:856-751-7146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ080472261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care