Organization Name: | SOUTH JERSEY HEALTHCARE |
NPI Number: | 1134491590 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBBIE MARIE FRANCESCHINI (DIRECTOR FOR REHAB) |
Mailing Address: | 210 Tomlin Station Road Mullica Hill |
State: | NJ US |
Postal Code: | 08062 |
Phone Number: | 8562412533 |
Fax Number: | 8565754988 |
NPI Enumeration Date: | 02/01/2012 |
NPI Last Update Date: | 02/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 46TR00190400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |