MEDICARE: UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY, 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
1	251S00000X	Community/Behavioral Health Agency		NJ

General Provider Information

NPI Number	:	1598183147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY, INC.

Provider Business Mailing Address
First Line	:	1289 ROUTE 38
Second Line	:	SUITE #203
City	:	HAINESPORT
State	:	NJ
Zip	:	08036-2730
Country	:	US
Telephone Number	:	609-267-5656
Fax Number	:	609-265-1895

Provider Business Practice Location Address
First Line	:	1 E STOW RD
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-3118
Country	:	US
Telephone Number	:	609-267-5656
Fax Number	:	609-265-1895

Authorized Official
Title or Position	:	CEO
Name	:	CHRISTINE KIRKBRIDE
Credential	:
Telephone Number	:	609-267-5656

Provider Enumeration Date	:	04/01/2014
Last Update Date	:	03/27/2024

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