Organization
QMANJ, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN THOMAS CONLEY J.D. (DIRECTOR OF FINANCE AND INFORMATION)
(856) 735-1041
Entity
Organization
Contact information
Practice address
213 BERGEN AVE, VOORHEES, NJ 08043-1803
(856) 354-5141
Mailing address
700 CINNAMINSON AVE, BLDG B, PALMYRA, NJ 08065-2500
(856) 735-1034
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
GH1355
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578908943
—
NJ
Enumeration date
04/20/2017
Last updated
07/21/2021
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