Healthcare Provider Details

I. General information

NPI: 1295721256
Provider Name (Legal Business Name): CAMDEN COUNTY HEALTH SERVICES CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 11/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 WOODBURY TURNERSVILLE RD
BLACKWOOD NJ
08012-2888
US

IV. Provider business mailing address

425 WOODBURY TURNERSVILLE RD
BLACKWOOD NJ
08012-2888
US

V. Phone/Fax

Practice location:
  • Phone: 856-374-6479
  • Fax: 856-374-6469
Mailing address:
  • Phone: 856-374-6479
  • Fax: 856-374-6469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number060411
License Number StateNJ

VIII. Authorized Official

Name: MR. GENE LYNAM
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 856-374-6500