Organization
LINCOLN HEALTHCARE OF NEW JERSEY, LLC
Active
Other names
Lincoln Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY A LEACH (CEO)
(856) 924-7000
Entity
Organization
Contact information
Practice address
309 FELLOWSHIP RD STE 100, MOUNT LAUREL, NJ 08054
(856) 924-7000
(856) 409-5064
Mailing address
310 N DERBY LN UNIT 1243, NORTH SIOUX CITY, SD 57049-7658
(712) 490-9980
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665070
—
NJ
01
—
HP0281000
HEALTH CARE SERVICES FIRM
NJ
Enumeration date
06/25/2018
Last updated
02/06/2019
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