Organization
HENDRICKS HOUSE, INC.
Active
Other names
Hansen House
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY MANNO (ASSISTANT TO THE DIRECTOR)
(856) 794-2443
Entity
Organization
Contact information
Practice address
411 ALOE ST, EGG HARBOR CITY, NJ 08215-3559
(856) 794-2443
(856) 794-8887
Mailing address
542 N WEST BLVD, VINELAND, NJ 08360-2847
(856) 794-2443
(856) 794-8887
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1000003
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055042
—
NJ
Enumeration date
10/17/2017
Last updated
10/17/2017
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