Hendricks House, INC.
Substance Abuse Rehabilitation Facility in Egg Harbor City, NJ. Organization (NPI-2).
NPI number1982115903
StatusActive
Last updated in NPPESOct 17, 2017
Details
- NPI
- 1982115903
- Entity type
- Organization (NPI-2)
- Legal business name
- Hendricks House, INC.
- Organization subpart
- No
- Enumeration date
- Oct 17, 2017
- Last updated
- Oct 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 1000003 | NJ | Yes |
Other names
- Hansen House (Doing Business As)
Practice location
411 Aloe StEgg Harbor City, NJ 08215-3559
Phone 856-794-2443 · Fax 856-794-8887
Mailing address
542 N West BlvdVineland, NJ 08360-2847
Phone 856-794-2443 · Fax 856-794-8887
Authorized official
Judy Manno
Assistant To The Director
8567942443
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