MEDICARE: ARC OF CAMDEN COUNTY - HEATHER SA

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	253Z00000X	In Home Supportive Care Agency	SA355	NJ

General Provider Information

NPI Number	:	1528448578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARC OF CAMDEN COUNTY - HEATHER SA

Provider Business Mailing Address
First Line	:	215 W WHITE HORSE PIKE
Second Line	:
City	:	BERLIN
State	:	NJ
Zip	:	08009-1132
Country	:	US
Telephone Number	:	856-767-3650
Fax Number	:	856-767-6110

Provider Business Practice Location Address
First Line	:	1990 LAUREL RD
Second Line	:
City	:	LINDENWOLD
State	:	NJ
Zip	:	08021-5965
Country	:	US
Telephone Number	:	856-346-8636
Fax Number	:	856-346-2248

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. MARGARET M. ENGLEBERT
Credential	:
Telephone Number	:	856-767-3650

Provider Enumeration Date	:	06/04/2015
Last Update Date	:	06/05/2015

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Directions to “ARC OF CAMDEN COUNTY - HEATHER SA ” Practice Location

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