Provider Demographics
NPI:1396205787
Name:FENNELL & ROWLAND FUNERAL HOME
Entity Type:Organization
Organization Name:FENNELL & ROWLAND FUNERAL HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMBKOWKSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-602-4035
Mailing Address - Street 1:410 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:NJ
Mailing Address - Zip Code:08065-2449
Mailing Address - Country:US
Mailing Address - Phone:609-220-1031
Mailing Address - Fax:
Practice Address - Street 1:410 MARKET ST
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:NJ
Practice Address - Zip Code:08065-2449
Practice Address - Country:US
Practice Address - Phone:609-220-1031
Practice Address - Fax:856-456-1123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176P00000XOther Service ProvidersFuneral DirectorGroup - Single Specialty