Healthcare Provider Details

I. General information

NPI: 1992627384
Provider Name (Legal Business Name): LA CASITA DE ESPERANZA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 E LANDIS AVE # 2
VINELAND NJ
08360-8001
US

IV. Provider business mailing address

727 E LANDIS AVE # 2
VINELAND NJ
08360-8001
US

V. Phone/Fax

Practice location:
  • Phone: 856-538-0372
  • Fax:
Mailing address:
  • Phone: 856-538-0372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NATALIE MORA
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 856-538-0372