Organization
LINCOLN PARK HOSPICE
Active
Organization
LINCOLN PARK HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIMI FELICIANO (CEO)
(973) 696-3300
Entity
Organization
Contact information
Practice address
61 BEAVERBROOK RD, LINCOLN PARK, NJ 07035-1750
(973) 696-2956
(973) 696-4539
Mailing address
499 PINE BROOK RD, LINCOLN PARK, NJ 07035-1804
(973) 696-3300
(973) 633-8747
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
23120
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092291
—
NJ
Enumeration date
04/11/2006
Last updated
08/22/2020
Update your record
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