Healthcare Provider Details

I. General information

NPI: 1245025055
Provider Name (Legal Business Name): F L P SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 N WOODBURY RD
PITMAN NJ
08071-1275
US

IV. Provider business mailing address

3 WOOD THRUSH AVE
SICKLERVILLE NJ
08081-5275
US

V. Phone/Fax

Practice location:
  • Phone: 856-432-3090
  • Fax: 856-432-3091
Mailing address:
  • Phone: 856-432-3090
  • Fax: 856-432-3091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PAUL H SENAT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 856-432-3090