Organization
MY TRAVELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDIE S KOLENUT (CEO)
(201) 464-9578
Entity
Organization
Contact information
Practice address
463 S MAIN ST FL 1, PHILLIPSBURG, NJ 08865-3030
(201) 464-9578
Mailing address
463 S MAIN ST FL 1, PHILLIPSBURG, NJ 08865-3030
(201) 464-9578
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NONE
—
Enumeration date
11/11/2022
Last updated
11/11/2022
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