| Omni Health Services, Inc. | |
|
120 S 6th St Vineland NJ 08360-4605 | |
| (267) 718-5022 | |
| Not Available |
| Full Name | Omni Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 120 S 6th St, Vineland, New Jersey |
| Authorized Official Name and Position | Michael M Thevar (PRESIDENT/CEO) |
| Authorized Official Contact | 2159972000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Health Services, Inc. Po Box 454 Montgomeryville PA 18936-0454 Ph: (267) 718-5022 | Omni Health Services, Inc. 120 S 6th St Vineland NJ 08360-4605 Ph: (267) 718-5022 |
| NPI Number | 1710453923 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710453923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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