Organization
ST. JOHN OF GOD COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS OSORIO (EXECUTIVE DIRECTOR)
(856) 848-4700
Entity
Organization
Contact information
Practice address
1147 DELSEA DRIVE, WESTVILLE GROVE, NJ 08093
(856) 848-4700
(856) 384-1512
Mailing address
1147 DELSEA DRIVE, WESTVILLE GROVE, NJ 08093
(856) 848-4700
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NJ
261QA0600X
Adult Day Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
NJ
Other
Enumeration date
12/21/2012
Last updated
11/15/2023
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