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NPI Code Detail

MEDICARE: SEVEN HILLS NEW JERSEY, INC.

MEDICARE: SEVEN HILLS NEW JERSEY, INC.
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
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1386022747
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEVEN HILLS NEW JERSEY, INC.
Provider Business Mailing Address
First Line : 81 HOPE AVE
Second Line :
City : WORCESTER
State : MA
Zip : 01603-2212
Country : US
Telephone Number : 508-755-2340
Fax Number :
Provider Business Practice Location Address
First Line : 820 BEAR TAVERN RD
Second Line :
City : EWING
State : NJ
Zip : 08628-1021
Country : US
Telephone Number : 508-755-2340
Fax Number :
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : DR. DAVID A. JORDAN
Credential : DHA, MPA
Telephone Number : 508-755-2340
Provider Enumeration Date : 05/18/2015
Last Update Date : 05/18/2015

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