Organization
PAFACOM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE TY VERNAMONTI M.S., B.A. (CHIEF EXECUTIVE OFFICER)
(856) 696-1661
Entity
Organization
Contact information
Practice address
1301 W FOREST GROVE RD, VINELAND, NJ 08360-1501
(856) 696-1661
(856) 691-6560
Mailing address
1301 W FOREST GROVE RD, BUILDING 3C, VINELAND, NJ 08360-1501
(856) 696-1661
(856) 691-6560
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
07/22/2016
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