Provider Demographics
NPI:1508992850
Name:CUMBERLAND COUNTY OFFICE ON AGING
Entity Type:Organization
Organization Name:CUMBERLAND COUNTY OFFICE ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MISONO
Authorized Official - Middle Name:I
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-453-2222
Mailing Address - Street 1:790 E COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08302-2269
Mailing Address - Country:US
Mailing Address - Phone:856-453-2220
Mailing Address - Fax:856-455-1029
Practice Address - Street 1:154 SUNNY SLOPE DR
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:NJ
Practice Address - Zip Code:08302-5732
Practice Address - Country:US
Practice Address - Phone:856-455-8000
Practice Address - Fax:856-453-7863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ080672261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care