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Organization
CENTER FOR INDEPENDENT LIVING OF SOUTH JERSEY, INC.
Active
Organization
CENTER FOR INDEPENDENT LIVING OF SOUTH JERSEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HAZEL L LEE-BRIGGSD (EXECUTIVE DIRECTOR)
(856) 853-6490
Entity
Organization
Contact information
Practice address
1150 DELSEA DR, SUITE 1,, WESTVILLE, NJ 08093-2225
(856) 853-6490
(856) 853-1466
Mailing address
1150 DELSEA DR, SUITE 1,, WESTVILLE, NJ 08093-2225
(856) 853-6490
(856) 853-1466
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251B00000X
NJ
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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