Organization
VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALTH CENTER I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY S LININGTON (EXECUTIVE DIRECTOR)
(732) 502-5151
Entity
Organization
Contact information
Practice address
100 MAIN STREET, KEANSBURG, NJ 07734
(732) 787-1250
(732) 787-4079
Mailing address
1301 MAIN STREET, ASBURY PARK, NJ 07712
(732) 774-6333
(732) 774-0313
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NJ
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119148
—
NJ
Enumeration date
02/01/2007
Last updated
12/04/2017
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