# PURVIS'S RETREAT

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

## Provider details

- **NPI number:** 1508188541
- **Authorized official:** MR. PURVIS J HATCHER (PRESIDENT)
- **Authorized official phone:** (856) 495-8385

## Contact information

- **Practice address:** 20 THOROUGHBRED CT, BRIDGETON, NJ 08302-3553
- **Practice address phone:** (856) 495-8385
- **Mailing address:** 20 THOROUGHBRED CT, BRIDGETON, NJ 08302-3553
- **Mailing address phone:** (856) 495-8385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2010
- **Last updated:** 02/18/2010