Provider Demographics
NPI:1083180509
Name:JEWISH FAMILY AND CHILDREN'S SERVICE OF SOUTHERN NEW JERSEY
Entity Type:Organization
Organization Name:JEWISH FAMILY AND CHILDREN'S SERVICE OF SOUTHERN NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTO, SPECIAL NEEDS DEPARTMENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-424-1333
Mailing Address - Street 1:1301 SPRINGDALE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2763
Mailing Address - Country:US
Mailing Address - Phone:856-424-1333
Mailing Address - Fax:
Practice Address - Street 1:1711 SPRINGDALE RD UNIT 114
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2137
Practice Address - Country:US
Practice Address - Phone:856-424-1333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEWISH FEDERATION OF SOUTHERN NJ
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-23
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0488313Medicaid