Provider Demographics
NPI:1780300020
Name:CFYN
Entity type:Organization
Organization Name:CFYN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOLATITO
Authorized Official - Middle Name:A
Authorized Official - Last Name:A JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-600-7737
Mailing Address - Street 1:309 FELLOWSHIP RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1234
Mailing Address - Country:US
Mailing Address - Phone:856-642-4030
Mailing Address - Fax:856-242-8177
Practice Address - Street 1:309 FELLOWSHIP RD STE 200
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-1234
Practice Address - Country:US
Practice Address - Phone:856-642-4030
Practice Address - Fax:856-242-8177
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARING FOR YOUR NEEDS SUPPORT SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251X00000XAgenciesSupports Brokerage
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No342000000XTransportation ServicesTransportation Network Company
No347C00000XTransportation ServicesPrivate Vehicle