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NPI Code Detail

MEDICARE: PARKER HOME AND COMMUNITY BASED SERVICES INC

MEDICARE: PARKER HOME AND COMMUNITY BASED SERVICES 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
1261QA0600XAdult Day Care Clinic/CenterPENDINGNJ

General Provider Information

NPI Number : 1558549287
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKER HOME AND COMMUNITY BASED SERVICES INC
Provider Business Mailing Address
First Line : 443 RIVER RD
Second Line :
City : HIGHLAND PARK
State : NJ
Zip : 08904-1914
Country : US
Telephone Number : 732-418-8618
Fax Number :
Provider Business Practice Location Address
First Line : 443 RIVER RD
Second Line :
City : HIGHLAND PARK
State : NJ
Zip : 08904-1914
Country : US
Telephone Number : 732-418-8614
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. EDWARD MATTHEWS
Credential :
Telephone Number : 732-418-8614
Provider Enumeration Date : 02/05/2008
Last Update Date : 01/30/2024

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Directions to “PARKER HOME AND COMMUNITY BASED SERVICES INC ” Practice Location

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