Provider Demographics
NPI:1972983906
Name:ARC OF CAMDEN COUNTY - CENTRAL AVE GH
Entity Type:Organization
Organization Name:ARC OF CAMDEN COUNTY - CENTRAL AVE GH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:M
Authorized Official - Last Name:ENGLEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-767-3650
Mailing Address - Street 1:215 W WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08009-1132
Mailing Address - Country:US
Mailing Address - Phone:856-767-3650
Mailing Address - Fax:856-767-6110
Practice Address - Street 1:1306 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LINDENWOLD
Practice Address - State:NJ
Practice Address - Zip Code:08021-3726
Practice Address - Country:US
Practice Address - Phone:856-346-8458
Practice Address - Fax:856-346-8401
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARC OF CAMDEN COUNTY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJGH860A253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care