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NPI Code Detail

MEDICARE: MASONIC CHARITY FOUNDATION OF NEW JERSEY

MEDICARE: MASONIC CHARITY FOUNDATION OF NEW JERSEY
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
1310400000XAssisted Living Facility02C003NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922232313
Entity Type Code : Organization
Provider Name (Legal Business Name) : MASONIC CHARITY FOUNDATION OF NEW JERSEY
Provider Business Mailing Address
First Line : 902 JACKSONVILLE RD
Second Line :
City : BURLINGTON
State : NJ
Zip : 08016-3814
Country : US
Telephone Number : 609-239-3900
Fax Number : 609-239-3980
Provider Business Practice Location Address
First Line : 902 JACKSONVILLE RD
Second Line :
City : BURLINGTON
State : NJ
Zip : 08016-3814
Country : US
Telephone Number : 609-239-3900
Fax Number : 609-239-3980
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. STEVIE STEVENSON
Credential :
Telephone Number : 609-239-3844
Provider Enumeration Date : 05/13/2009
Last Update Date : 11/01/2023

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Directions to “MASONIC CHARITY FOUNDATION OF NEW JERSEY ” Practice Location

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