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Organization
KENNEDY HEALTH FACILITIES, INC.
Active
Organization
KENNEDY HEALTH FACILITIES, INC.
Active
Other names
Kennedy Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD KOSS (VICE PRESIDENT, AMBULATORY SERVICES)
(856) 566-5279
Entity
Organization
Contact information
Practice address
535 EGG HARBOR RD, SEWELL, NJ 08080-2335
(856) 582-3170
(856) 582-3143
Mailing address
535 EGG HARBOR RD, SEWELL, NJ 08080-2335
(856) 582-3170
(856) 582-3143
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060806
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000591100
INDEPENDENCE BLUE CROSS
PA
01
—
13145
AETNA USHEALTHCARE
NJ
01
—
315231
HORIZON BLUE CROSS
NJ
05
—
4478304
—
NJ
01
—
612914300
FEDERAL BLACK LUNG
FL
Enumeration date
09/06/2005
Last updated
06/29/2012
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