Organization
ADVANTAGE SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE WILTSEE (OWNER)
(856) 430-1982
Entity
Organization
Contact information
Practice address
36 QUAKER RD, MICKLETON, NJ 08056-1303
(856) 423-4940
Mailing address
36 QUAKER RD, MICKLETON, NJ 08056-1303
(856) 423-4940
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NJ
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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