Organization
YOUR 365 SUPPORTIVE COORDINATION CARE
Active
Parent organization
YOUR 365 SUPPORTIVE COORDINATION CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUR 365 SUPPORTIVE COORDINATION CARE
Authorized official
FERMINA MADDOX-MOHAMMED (CHIEF OPERATING OFFICER)
(856) 344-5089
Entity
Organization
Contact information
Practice address
1 OAK LEAF CT, SICKLERVILLE, NJ 08081-5285
(856) 344-5089
Mailing address
1 OAK LEAF CT, SICKLERVILLE, NJ 08081-5285
(856) 344-5089
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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