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Organization

CENTER FOR INDEPENDENT LIVING OF SOUTH JERSEY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HAZEL L LEE-BRIGGSD (EXECUTIVE DIRECTOR)
(856) 853-6490
Entity
Organization

Contact information

Practice address
1150 DELSEA DR, SUITE 1,, WESTVILLE, NJ 08093-2225
(856) 853-6490
(856) 853-1466
Mailing address
1150 DELSEA DR, SUITE 1,, WESTVILLE, NJ 08093-2225
(856) 853-6490
(856) 853-1466

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251B00000X
NJ

Other

Enumeration date
06/16/2009
Last updated
06/16/2009
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