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Organization
JEFFERSON PARK MINISTRIES, INC
Active
Organization
JEFFERSON PARK MINISTRIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WOODY K PHILIPPE (EXECUTIVE DIRECTOR)
(908) 469-9508
Entity
Organization
Contact information
Practice address
70 WEST GRAND ST, ELIZABETH, NJ 07202
(908) 469-9508
(908) 469-9509
Mailing address
70 WEST GRAND ST, ELIZABETH, NJ 07202
(908) 469-9508
(908) 469-9509
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
347E00000X
Transportation Broker
—
NULL
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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