MEDICARE: THE ARC OF CAMDEN COUNTY

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
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1477190973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ARC OF CAMDEN COUNTY

Provider Business Mailing Address
First Line	:	215 W WHITE HORSE PIKE
Second Line	:
City	:	BERLIN
State	:	NJ
Zip	:	08009-1132
Country	:	US
Telephone Number	:	856-426-7478
Fax Number	:

Provider Business Practice Location Address
First Line	:	1990 LAUREL RD APT V195
Second Line	:
City	:	LINDENWOLD
State	:	NJ
Zip	:	08021-5965
Country	:	US
Telephone Number	:	856-767-3650
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	THOMAS MANNION
Credential	:
Telephone Number	:	856-767-3650

Provider Enumeration Date	:	12/03/2019
Last Update Date	:	12/03/2019

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Directions to “THE ARC OF CAMDEN COUNTY ” Practice Location

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