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Organization

EXCEPTIONAL HEALTHCARE NEW JERSEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GANIYAT FUNMI EFUNTOYE RN (DIRECTOR)
(240) 357-8763
Entity
Organization

Contact information

Practice address
6475 NEW HAMPSHIRE AVE, HYATTSVILLE, MD 20783-3269
(240) 357-8763
Mailing address
6475 NEW HAMPSHIRE AVE, HYATTSVILLE, MD 20783-3269
(240) 357-8763

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NJ

Other

Enumeration date
06/25/2015
Last updated
06/25/2015
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