MEDICARE: CAPE MAY COUNTY BOARD OF SOCIAL SERVICES

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	171M00000X	Case Manager/Care Coordinator		NJ

General Provider Information

NPI Number	:	1982723169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPE MAY COUNTY BOARD OF SOCIAL SERVICES

Provider Business Mailing Address
First Line	:	4005 ROUTE 9 S
Second Line	:
City	:	RIO GRANDE
State	:	NJ
Zip	:	08242-1911
Country	:	US
Telephone Number	:	609-886-6200
Fax Number	:	609-889-9332

Provider Business Practice Location Address
First Line	:	4005 ROUTE 9 S
Second Line	:
City	:	RIO GRANDE
State	:	NJ
Zip	:	08242-1911
Country	:	US
Telephone Number	:	609-886-6200
Fax Number	:	609-889-9332

Authorized Official
Title or Position	:	PRIN CLERK TYPIST
Name	:	MRS. SUE L SHEETS
Credential	:
Telephone Number	:	609-886-6200

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	08/22/2020

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