Organization
EXPERIENCED SUPPORT COORDINATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS LENCOVICH (PRESIDENT)
(609) 581-1614
Entity
Organization
Contact information
Practice address
108 JONI AVE, HAMILTON, NJ 08690-3641
(609) 581-1614
Mailing address
108 JONI AVE, HAMILTON, NJ 08690-3641
(609) 581-1614
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NJ
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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