Waiver Services | |
1001 Briggs Rd Ste 200 Mount Laurel NJ 08054-4100 | |
(856) 608-8761 | |
Not Available |
Full Name | Waiver Services |
---|---|
Speciality | Community/behavioral Health |
Location | 1001 Briggs Rd Ste 200, Mount Laurel, New Jersey |
Authorized Official Name and Position | Timothy Whobrey (PROVIDER ENROLLMENT) |
Authorized Official Contact | 5026307249 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Waiver Services 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: (502) 394-2100 | Waiver Services 1001 Briggs Rd Ste 200 Mount Laurel NJ 08054-4100 Ph: (856) 608-8761 |
NPI Number | 1093050668 |
---|---|
Provider Enumeration Date | 12/07/2012 |
Last Update Date | 10/28/2021 |
Certification Date | 10/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093050668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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