Organization
LIFETIME SUPPORT INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE DUNGEY (PROGRAM ADMINISTRATOR)
(973) 315-0027
Entity
Organization
Contact information
Practice address
52 FADEM RD, SPRINGFIELD, NJ 07081-3116
(973) 315-0027
Mailing address
52 FADEM RD, SPRINGFIELD, NJ 07081-3116
(973) 315-0027
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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