# JEFFERSON PARK MINISTRIES, INC

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

## Provider details

- **NPI number:** 1679000921
- **Authorized official:** WOODY K PHILIPPE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (908) 469-9508

## Contact information

- **Practice address:** 70 WEST GRAND ST, ELIZABETH, NJ 07202
- **Practice address phone:** (908) 469-9508
- **Practice address fax:** (908) 469-9509
- **Mailing address:** 70 WEST GRAND ST, ELIZABETH, NJ 07202
- **Mailing address phone:** (908) 469-9508
- **Mailing address fax:** (908) 469-9509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 347E00000X | Transportation Broker | — | NULL | — |

## Other

- **Enumeration date:** 05/17/2017
- **Last updated:** 05/17/2017