Provider Demographics
NPI:1023687241
Name:QMANJ, INC
Entity type:Organization
Organization Name:QMANJ, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-735-1011
Mailing Address - Street 1:700 CINNAMINSON AVE BLDG B
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:NJ
Mailing Address - Zip Code:08065-2500
Mailing Address - Country:US
Mailing Address - Phone:609-519-1183
Mailing Address - Fax:856-727-8899
Practice Address - Street 1:9 E STOW RD
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3159
Practice Address - Country:US
Practice Address - Phone:856-735-1011
Practice Address - Fax:856-727-8899
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QMANJ, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-22
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0374393Medicaid