# OCEAN COUNTY FAMILY CARE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDVANTX, INC.
- **Other names:** Ocean County Family Care - Jackson
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730220328
- **Legal business name:** MEDVANTX, INC.
- **Authorized official:** MR. KENNY HEINE (VP OF OPERATIONS)
- **Authorized official phone:** (858) 964-1506

## Contact information

- **Practice address:** 27 COOKS BRIDGE ROAD, SUITE 2-2, JACKSON, NJ 08527
- **Practice address phone:** (732) 370-4222
- **Mailing address:** 5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
- **Mailing address phone:** (858) 625-2990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 25MA08551100 | NJ | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 12/22/2014