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Organization

QMANJ, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN BLAIR EIRDOSH MA (CHIEF OPERATING OFFICER)
(856) 735-1034
Entity
Organization

Contact information

Practice address
1124 BIBBS RD, APT #1, VOORHEES, NJ 08043-2166
(856) 770-5140
Mailing address
700 CINNAMINSON AVE BLDG B, PALMYRA, NJ 08065-2500
(856) 735-1034

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
04/26/2017
Last updated
07/07/2017
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