MEDICARE: SENIOR CONCERNS A NJ NONPROFIT CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1043407943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR CONCERNS A NJ NONPROFIT CORPORATION

Provider Business Mailing Address
First Line	:	153 TURNPIKE
Second Line	:
City	:	PEQUANNOCK
State	:	NJ
Zip	:	07440-1300
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	153 TURNPIKE
Second Line	:
City	:	PEQUANNOCK
State	:	NJ
Zip	:	07440-1300
Country	:	US
Telephone Number	:	973-519-3356
Fax Number	:

Authorized Official
Title or Position	:	EXEC DIRECTOR
Name	:	MS. MARY HASKINS
Credential	:	MA
Telephone Number	:	973-519-3356

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	09/25/2007

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Directions to “SENIOR CONCERNS A NJ NONPROFIT CORPORATION ” Practice Location

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