| Sean Kingston Llc | |
|
535 Lacey Rd Forked River NJ 08731-1533 | |
| (732) 915-2062 | |
| Not Available |
| Full Name | Sean Kingston Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 535 Lacey Rd, Forked River, New Jersey |
| Authorized Official Name and Position | Heather Kingston (OPERATIONS) |
| Authorized Official Contact | 7329152062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Kingston Llc 273 Matey Ave Manahawkin NJ 08050-2235 Ph: (732) 915-2062 | Sean Kingston Llc 535 Lacey Rd Forked River NJ 08731-1533 Ph: (732) 915-2062 |
| NPI Number | 1861255697 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861255697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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