Organization
UNITY SUPPORT BROKERAGE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JEANTY (OWNER)
(215) 620-9247
Entity
Organization
Contact information
Practice address
195 PENNYPACKER DR, WILLINGBORO, NJ 08046-2646
(215) 620-9247
Mailing address
195 PENNYPACKER DR, WILLINGBORO, NJ 08046-2646
(215) 620-9247
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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