Provider Demographics
NPI:1275883159
Name:DOOLEY HOUSE INC
Entity Type:Organization
Organization Name:DOOLEY HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL CASE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIP
Authorized Official - Suffix:
Authorized Official - Credentials:MHS
Authorized Official - Phone:856-225-1300
Mailing Address - Street 1:517 COOPER ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08102-1210
Mailing Address - Country:US
Mailing Address - Phone:856-225-1300
Mailing Address - Fax:856-225-1900
Practice Address - Street 1:129 MARKET ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08102-2409
Practice Address - Country:US
Practice Address - Phone:856-225-1300
Practice Address - Fax:856-225-1900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0096407Medicaid