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NPI Code Detail

MEDICARE: FOUNDATION FOR ADULT FAMILY HEALTH CARE SERVICES

MEDICARE: FOUNDATION FOR ADULT FAMILY HEALTH CARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker10113-01-105NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114048139
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOUNDATION FOR ADULT FAMILY HEALTH CARE SERVICES
Provider Business Mailing Address
First Line : 53 ORCHARD ST
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-1832
Country : US
Telephone Number : 973-773-7600
Fax Number : 973-773-7011
Provider Business Practice Location Address
First Line : 53 ORCHARD ST
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-1832
Country : US
Telephone Number : 973-773-7600
Fax Number : 973-773-7011
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MR. VIKTORIYA FINE
Credential :
Telephone Number : 973-773-7600
Provider Enumeration Date : 04/03/2007
Last Update Date : 08/22/2020

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Directions to “FOUNDATION FOR ADULT FAMILY HEALTH CARE SERVICES ” Practice Location

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