Organization Name: | VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALTH CENTER, |
NPI Number: | 1003867250 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY S LININGTON (EXECUTIVE DIRECTOR) |
Mailing Address: | 35 Broad Street Keyport |
State: | NJ US |
Postal Code: | 07735 |
Phone Number: | 7328884149 |
Fax Number: | 7322640799 |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 07/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | 82448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |