Provider Demographics
NPI:1558517482
Name:SALEM COUNTY IMPROVEMENT AUTHORITY
Entity Type:Organization
Organization Name:SALEM COUNTY IMPROVEMENT AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KUGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-935-6677
Mailing Address - Street 1:438 SALEM-WOODSTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NJ
Mailing Address - Zip Code:08079
Mailing Address - Country:US
Mailing Address - Phone:856-935-6677
Mailing Address - Fax:
Practice Address - Street 1:438 SALEM WOODSTOWN RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NJ
Practice Address - Zip Code:08079-4220
Practice Address - Country:US
Practice Address - Phone:856-935-6677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ61703313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility