Provider Demographics
NPI:1487826434
Name:CUMBERLAND COUNTY BOARD OF SOCIAL SERVICES
Entity Type:Organization
Organization Name:CUMBERLAND COUNTY BOARD OF SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF WELFARE
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:KEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-691-4600
Mailing Address - Street 1:275 N DELSEA DR
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-3608
Mailing Address - Country:US
Mailing Address - Phone:856-691-4600
Mailing Address - Fax:856-692-7635
Practice Address - Street 1:275 N DELSEA DR
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-3608
Practice Address - Country:US
Practice Address - Phone:856-691-4600
Practice Address - Fax:856-692-7635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0060208Medicaid