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Organization
MERCER CTY OFFICE AGING
Active
Organization
MERCER CTY OFFICE AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN DOREMUS BA, CSW (EXECUTIVE DIRECTOR)
(609) 989-6662
Entity
Organization
Contact information
Practice address
200 WOOLVERTON ST., TRENTON, NJ 08650
(609) 989-6661
(609) 989-9337
Mailing address
640 S. BROAD ST., BOX 8068, TRENTON, NJ 08650-0068
(609) 989-6662
(609) 989-9337
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8185905
NJ
171M00000X
Case Manager/Care Coordinator
8185913
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8185905
—
NJ
05
—
8185913
—
NJ
Enumeration date
05/11/2007
Last updated
07/16/2008
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