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Organization

MATHENY SCHOOL AND HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BERNADETT F SPANN (PATIENT ACCOUNT SUPERVISOR)
(908) 234-0011
Entity
Organization

Contact information

Practice address
65 HIGHLAND AVE, PEAPACK, NJ 07977-0339
(908) 234-0011
Mailing address
MAIN STREET P.O. BOX 339, PEAPACK, NJ 07977-0339
(908) 234-0011
(908) 234-9367

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0582603
NJ
Enumeration date
04/12/2018
Last updated
04/12/2018
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