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Organization
COMMUNITY QUEST
Active
Organization
COMMUNITY QUEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL KELLY (CEO)
(609) 780-1430
Entity
Organization
Contact information
Practice address
6814 TILTON ROAD, EGG HARBOR TOWNSHIP, NJ 08234
(609) 646-0388
(609) 646-5622
Mailing address
6814 TILTON RD, EGG HARBOR TOWNSHIP, NJ 08234-4490
(609) 646-0388
(609) 646-5622
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
NULL
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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