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Organization
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Active
Organization
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Active
Other names
Woodbine Developmental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J ARMSTRONG RN, BSN, MSA (CEO)
(609) 861-6041
Entity
Organization
Contact information
Practice address
1175 DEHIRSCH AVE, WOODBINE, NJ 08270-2401
(609) 861-2164
(609) 861-5176
Mailing address
1175 DEHIRSCH AVE, WOODBINE, NJ 08270-2401
(609) 861-2164
(609) 861-5176
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4472004
—
NJ
01
—
528582
PROVIDER GROUP
NJ
Enumeration date
06/03/2006
Last updated
01/09/2017
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