Organization
SAMBULANCE SAFETY SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE PETERS (EXECUTIVE DIRECTOR)
(856) 322-6182
Entity
Organization
Contact information
Practice address
100 PINEDGE DR, WEST BERLIN, NJ 08091-9262
(856) 322-6182
Mailing address
100 PINEDGE DR, WEST BERLIN, NJ 08091-9262
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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