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NPI Code Detail

MEDICARE: LIFE FOCUS CENTER A NJ NONPROFIT

MEDICARE: LIFE FOCUS CENTER A NJ NONPROFIT
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
1101YP1600XPastoral Counselor

General Provider Information

NPI Number : 1528822749
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE FOCUS CENTER A NJ NONPROFIT
Provider Business Mailing Address
First Line : 302 N WASHINGTON AVE STE E101
Second Line :
City : MOORESTOWN
State : NJ
Zip : 08057-2448
Country : US
Telephone Number : 609-864-9300
Fax Number :
Provider Business Practice Location Address
First Line : 302 N WASHINGTON AVE STE E101
Second Line :
City : MOORESTOWN
State : NJ
Zip : 08057-2448
Country : US
Telephone Number : 609-864-9300
Fax Number :
Authorized Official
Title or Position : PRESIDENT/COUNSELOR
Name : ANDREA HENNESSEE
Credential :
Telephone Number : 609-864-9300
Provider Enumeration Date : 02/08/2024
Last Update Date : 02/08/2024

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Directions to “LIFE FOCUS CENTER A NJ NONPROFIT ” Practice Location

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