Organization
MOSS ACHIEVEMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MOSS B.S.P.P. (MANAGING MEMBER)
(609) 220-9023
Entity
Organization
Contact information
Practice address
25 ADLER CIR, LUMBERTON, NJ 08048-4501
(609) 220-9023
(856) 234-9100
Mailing address
25 ADLER CIR, LUMBERTON, NJ 08048-4501
(609) 220-9023
(856) 234-9100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PT40QA00500500
NJ
Other
Enumeration date
07/22/2008
Last updated
10/24/2008
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