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Tiffany Lecator

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pine Hill, NJ. Individual provider (NPI-1).

NPI number1366840985
StatusActive
Last updated in NPPESDec 13, 2014

Details

NPI
1366840985
Entity type
Individual (NPI-1)
Name
Tiffany Lecator
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 13, 2014
Last updated
Dec 13, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities–NJYes

Practice location

828 Blackwood Clementon Rd Apt 104
Pine Hill, NJ 08021-6819

Phone 856-265-4928

Mailing address

828 Blackwood Clementon Rd Apt 104
Pine Hill, NJ 08021-6819

Phone 856-265-4928

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Pine Hill, NJ

All 5 Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Pine Hill · All 100 providers in Pine Hill

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