# EXPERIENCED SUPPORT COORDINATION LLC

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

## Provider details

- **NPI number:** 1770911471
- **Authorized official:** MR. THOMAS LENCOVICH (PRESIDENT)
- **Authorized official phone:** (609) 581-1614

## Contact information

- **Practice address:** 108 JONI AVE, HAMILTON, NJ 08690-3641
- **Practice address phone:** (609) 581-1614
- **Mailing address:** 108 JONI AVE, HAMILTON, NJ 08690-3641
- **Mailing address phone:** (609) 581-1614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NJ | Yes |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/16/2013
- **Last updated:** 10/16/2013