LORI GAINES MCCULLOM

CEDAR GROVE, NJ
NPI1134406762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: NJ  46TR00355900)
Enumeration Date2011-11-10
Last Update Date2011-11-10
Business Address
-- LORI GAINES MCCULLOM OTR
25 E LINDSLEY RD
CEDAR GROVE, NJ 07009-1023
Phone number: 973-256-7220
Mailing Address
-- LORI GAINES MCCULLOM OTR
25 E LINDSLEY RD
CEDAR GROVE, NJ 07009-1023
Phone number: 973-256-7220