| Organization Name: | VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALTH CENTER I |
| NPI Number: | 1104964550 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY S LININGTON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 100 Main Street Keansburg |
| State: | NJ US |
| Postal Code: | 07734 |
| Phone Number: | 7327871250 |
| Fax Number: | 7327874079 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |