Provider Demographics
NPI:1619391695
Name:ANSWERS MOVING FORWARD SUPPORTIVE SERVICES LLC
Entity Type:Organization
Organization Name:ANSWERS MOVING FORWARD SUPPORTIVE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VERA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:973-416-2679
Mailing Address - Street 1:PO BOX 221
Mailing Address - Street 2:2 FEDERAL SQUARE
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-0221
Mailing Address - Country:US
Mailing Address - Phone:973-416-2679
Mailing Address - Fax:973-416-2670
Practice Address - Street 1:1344 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-1362
Practice Address - Country:US
Practice Address - Phone:973-399-7900
Practice Address - Fax:973-399-1705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-11
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000482261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center