Healthcare Provider Details

I. General information

NPI: 1720459977
Provider Name (Legal Business Name): PRICE SOCIAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2015
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 BROWNING LN STE C3
CHERRY HILL NJ
08003-3195
US

IV. Provider business mailing address

130 TIFFANY LANE
WILLINGBORO NJ
08046
US

V. Phone/Fax

Practice location:
  • Phone: 856-651-7904
  • Fax: 856-229-7158
Mailing address:
  • Phone: 609-670-3674
  • Fax: 609-877-0987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. AUNDREY PRICE
Title or Position: EXECUTOR
Credential: B.S.
Phone: 609-670-3674