Organization
MEDALLION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LUTZ (PRESIDENT)
(732) 961-2020
Entity
Organization
Contact information
Practice address
212 2ND ST, 105, LAKEWOOD, NJ 08701-3424
(732) 961-2020
Mailing address
212 2ND ST, 105, LAKEWOOD, NJ 08701-3424
(732) 961-2020
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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