MEDICARE: MEACHEM AND ROWLAND FUNERAL HOME

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	176P00000X	Funeral Director

General Provider Information

NPI Number	:	1457847121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEACHEM AND ROWLAND FUNERAL HOME

Provider Business Mailing Address
First Line	:	351 HIGH ST
Second Line	:
City	:	WESTVILLE
State	:	NJ
Zip	:	08093-1161
Country	:	US
Telephone Number	:	856-602-4035
Fax Number	:

Provider Business Practice Location Address
First Line	:	351 HIGH ST
Second Line	:
City	:	WESTVILLE
State	:	NJ
Zip	:	08093-1161
Country	:	US
Telephone Number	:	856-602-4035
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KATHLEEN DOMBKOWSKI
Credential	:
Telephone Number	:	856-602-4035

Provider Enumeration Date	:	07/06/2018
Last Update Date	:	07/06/2018

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