Healthcare Provider Details

I. General information

NPI: 1932798030
Provider Name (Legal Business Name): J AND W HORIZON CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 01/13/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 SUMMERBROOKE CT
SICKLERVILLE NJ
08081-9685
US

IV. Provider business mailing address

119 SUMMERBROOKE CT
SICKLERVILLE NJ
08081-9685
US

V. Phone/Fax

Practice location:
  • Phone: 856-345-4189
  • Fax:
Mailing address:
  • Phone: 856-345-4189
  • Fax:

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 Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: ESTHER J BOIT
Title or Position: CEO
Credential:
Phone: 856-345-4189