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State Of New Jersey Omb Centralized Payroll
Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Lisbon, New Jersey
NPI 1255375929

State Of New Jersey Omb Centralized Payroll is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in New Lisbon, NJ. State Of New Jersey Omb Centralized Payroll practices in New Lisbon, NJ. The NPI Number for State Of New Jersey Omb Centralized Payroll is 1255375929 and holds a License No. 4467001 (New Jersey).

The current practice location address for State Of New Jersey Omb Centralized Payroll is Rte 72 East, New Lisbon, NJ and can be reached out via phone at 609-894-4001 and via fax at 609-726-1293.

Location: Rte 72 East, New Lisbon, NJ, 08064-0130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255375929
Provider Name
State Of New Jersey Omb Centralized Payroll
Credential
Provider Entity Type
Organization
Address
Rte 72 East, New Lisbon, NJ, 08064-0130
Phone Number
609-894-4001
Fax Number
609-726-1293
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
528585 01 NJ MEDICARE BILLING GROUP
institution
Provider Business Practice Location Address Details
Address
Rte 72 East
City
New Lisbon
State
New Jersey
Zip
08064-0130
Phone Number
609-894-4001
Fax Number
609-726-1293
person
Provider Business Mailing Address Details
Address
Rte 72 East
City
New Lisbon
State
New Jersey
Zip
08064-0130
Phone Number
609-894-4001
Fax Number
609-726-1293
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
4467001 (New Jersey)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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