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NPI Code Detail

MEDICARE: THE NEW HOPE SFLS LLC

MEDICARE: THE NEW HOPE SFLS LLC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1295181535
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE NEW HOPE SFLS LLC
Provider Business Mailing Address
First Line : 29 WHISPERING PINES LN
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-1421
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 277 COIT ST
Second Line :
City : IRVINGTON
State : NJ
Zip : 07111-4013
Country : US
Telephone Number : 732-363-7770
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : JOSEPH SCHONBERGER
Credential :
Telephone Number : 732-363-7770
Provider Enumeration Date : 05/05/2016
Last Update Date : 05/05/2016

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Directions to “THE NEW HOPE SFLS LLC ” Practice Location

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