# FECUND MENTORSHIP INC PROLIFIC MENTORSHIP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023786043
- **Authorized official:** JOSEPHINE HARVEY (PRESIDENT)
- **Authorized official phone:** (732) 644-8155

## Contact information

- **Practice address:** 539 W COMMODORE BLVD, JACKSON, NJ 08527-5406
- **Practice address phone:** (732) 644-8155
- **Mailing address:** 539 W COMMODORE BLVD, JACKSON, NJ 08527-5406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2021
- **Last updated:** 09/03/2021