Healthcare Provider Details

I. General information

NPI: 1043340961
Provider Name (Legal Business Name): WARREN COUNTY DIVISION OF SENIOR SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 COUNTY ROAD 519 SUITE 245
BELVIDERE NJ
07823-1927
US

IV. Provider business mailing address

165 COUNTY ROAD 519 SUITE 245
BELVIDERE NJ
07823-1927
US

V. Phone/Fax

Practice location:
  • Phone: 908-475-6591
  • Fax: 908-475-6588
Mailing address:
  • Phone: 908-475-6591
  • Fax: 908-475-6588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS SUSAN LENNON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 908-475-6591