Provider Demographics
NPI:1508223561
Name:ST. JOSEPH'S SCHOOL FOR THE BLIND
Entity Type:Organization
Organization Name:ST. JOSEPH'S SCHOOL FOR THE BLIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FEINHALS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-876-5432
Mailing Address - Street 1:761 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-3831
Mailing Address - Country:US
Mailing Address - Phone:201-876-5432
Mailing Address - Fax:
Practice Address - Street 1:761 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-3831
Practice Address - Country:US
Practice Address - Phone:201-876-5432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services