Organization Name: | COMPASSIONATE CARE HOSPICE OF SOUTHERN NEW JERSEY LLC |
NPI Number: | 1649561093 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDITH GREY (CEO) |
Mailing Address: | 518 S Shore Rd Marmora |
State: | NJ US |
Postal Code: | 082231215 |
Phone Number: | 6092671178 |
Fax Number: | 6092673499 |
NPI Enumeration Date: | 04/20/2011 |
NPI Last Update Date: | 04/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |