Organization
ADVOCACY FAMILY SUPPORT SERVICES.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IJEOMA NNEDINMA SALAMI MASTERS DEGREE (CHIEF EXECUTIVE OFFICER)
(732) 762-8739
Entity
Organization
Contact information
Practice address
41 LA GORCE BLVD, BURLINGTON, NJ 08016-2938
(732) 762-8739
Mailing address
41 LA GORCE BLVD, BURLINGTON TWP, NJ 08016
(732) 762-8739
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NJ
305R00000X
Preferred Provider Organization
103TM1800X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972900777
—
NJ
Enumeration date
11/24/2014
Last updated
03/31/2017
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