Healthcare Provider Details

I. General information

NPI: 1366594970
Provider Name (Legal Business Name): OCEAN PARTNERSHIP FOR CHILDREN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 ROUTE 88 W SUITE 303
BRICK NJ
08724
US

IV. Provider business mailing address

1610 ROUTE 88 W SUITE 303
BRICK NJ
08724
US

V. Phone/Fax

Practice location:
  • Phone: 732-202-0666
  • Fax: 732-202-0665
Mailing address:
  • Phone: 732-202-0666
  • Fax: 732-202-0665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MRS. PENELOPE RONE
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 732-202-0666