Provider Demographics
NPI:1710169172
Name:TOWNSHIP OF EAST HANOVER
Entity Type:Organization
Organization Name:TOWNSHIP OF EAST HANOVER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:973-428-3035
Mailing Address - Street 1:411 RIDGEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-1440
Mailing Address - Country:US
Mailing Address - Phone:973-428-3035
Mailing Address - Fax:973-428-2986
Practice Address - Street 1:411 RIDGEDALE AVE
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-1440
Practice Address - Country:US
Practice Address - Phone:973-428-3035
Practice Address - Fax:973-428-2986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare