Organization
MY GOAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE KUMAPLEY PHARMD (EXECUTIVE DIRECTOR)
(877) 886-9462
Entity
Organization
Contact information
Practice address
51 WAVERLY PL, MONMOUTH JUNCTION, NJ 08852-2705
(877) 886-9462
Mailing address
PO BOX 531, MONMOUTH JUNCTION, NJ 08852-0531
(732) 616-5060
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/20/2018
Last updated
10/20/2018
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