Organization
VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALTH CENTER I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLENE RICE (CREDENTIALING SPECIALIST)
(732) 502-5144
Entity
Organization
Contact information
Practice address
35 BROAD STREET, KEYPORT, NJ 07735
(732) 888-4149
(732) 264-0799
Mailing address
806 5TH AVE, ASBURY PARK, NJ 07712-5363
(732) 502-5144
(732) 264-0799
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
82448
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002429
—
NJ
Enumeration date
05/12/2006
Last updated
07/14/2023
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