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General NPI Number Information
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NPI Number | 1679067433
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Entity Type | Organization
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Legal Business Name | PARKER HOME AND COMMUNITY BASED SERVICES INC
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 200 OVERLOOK DR
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-5532
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Country | US
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Telephone | 609-655-6853
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Fax |
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Provider Business Mailing Address
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Address Line | 443 RIVER RD
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City | HIGHLAND PARK
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State | NJ
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Zip | 08904-1914
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Country | US
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Telephone | 732-418-8615
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Fax |
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Authorized Official
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Title or Position | SENIOR DIRECTOR HCBS
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Name | MRS. MEGAN CHRISTINA KOVALTCHOUK
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Credential |
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Telephone | 732-418-8615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 83001
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License Number State | NJ
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