Provider Demographics
NPI:1043340961
Name:WARREN COUNTY DIVISION OF SENIOR SERVICES
Entity Type:Organization
Organization Name:WARREN COUNTY DIVISION OF SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LENNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-475-6591
Mailing Address - Street 1:165 COUNTY ROAD 519
Mailing Address - Street 2:SUITE 245
Mailing Address - City:BELVIDERE
Mailing Address - State:NJ
Mailing Address - Zip Code:07823-1927
Mailing Address - Country:US
Mailing Address - Phone:908-475-6591
Mailing Address - Fax:908-475-6588
Practice Address - Street 1:165 COUNTY ROAD 519
Practice Address - Street 2:SUITE 245
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-1927
Practice Address - Country:US
Practice Address - Phone:908-475-6591
Practice Address - Fax:908-475-6588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7956711Medicaid
NJ7956703Medicaid