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Organization

PURPOSE HUMAN SERVICES

Active
Other names
Purpose
Organization subpart
No

Provider details

NPI number
Authorized official
LYNETTE VERA GOERGE (CO-COORDINATOR)
(732) 213-8692
Entity
Organization

Contact information

Practice address
91 RIDGEWOOD WAY, BURLINGTON, NJ 08016-4263
(732) 213-8692
Mailing address
91 RIDGEWOOD WAY, BURLINGTON, NJ 08016-4263
(732) 213-8692

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
347C00000X
Private Vehicle
347E00000X
Transportation Broker
372600000X
Adult Companion
385HR2065X
Child Physical Disabilities Respite Care
Primary

Other

Enumeration date
03/18/2022
Last updated
03/18/2022
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