Organization
LAUREL REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA DEFFLER RN, CCM, CDMS (PRESIDENT)
(856) 869-7360
Entity
Organization
Contact information
Practice address
216 HADDON AVENUE, SUITE 702, HADDON TOWNSHIP, NJ 08108-2815
(856) 869-7360
(856) 869-7364
Mailing address
216 HADDON AVENUE, SUITE 702, HADDON TOWNSHIP, NJ 08108-2815
(856) 869-7360
(856) 869-7364
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
556220101
—
NJ
Enumeration date
10/02/2007
Last updated
10/02/2007
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