Healthcare Provider Details

I. General information

NPI: 1740968411
Provider Name (Legal Business Name): JEWISH FAMILY AND CHILDREN'S SERVICE OF SOUTHERN NEW JERSEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 E EVESHAM RD
VOORHEES NJ
08043-1559
US

IV. Provider business mailing address

1301 SPRINGDALE RD
CHERRY HILL NJ
08003-2763
US

V. Phone/Fax

Practice location:
  • Phone: 347-254-5591
  • Fax:
Mailing address:
  • Phone: 856-424-1333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: BARBARA LYN ABRAMS
Title or Position: DIRECTOR
Credential:
Phone: 856-424-1333