| South Jersey Geriatric Care, Pc | |
|
61 Kresson Rd Fl 2 Cherry Hill NJ 08034-3228 | |
| (856) 429-3494 | |
| (856) 229-7683 |
| Full Name | South Jersey Geriatric Care, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 61 Kresson Rd Fl 2, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Lori A Heberley (PRESIDENT) |
| Authorized Official Contact | 8564293494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Jersey Geriatric Care, Pc 61 Kresson Rd Fl 2 Cherry Hill NJ 08034-3228 Ph: (856) 429-3494 | South Jersey Geriatric Care, Pc 61 Kresson Rd Fl 2 Cherry Hill NJ 08034-3228 Ph: (856) 429-3494 |
| NPI Number | 1154186294 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/17/2024 |
| Medicare PECOS PAC ID | 8527403161 |
|---|---|
| Medicare Enrollment ID | O20240305002036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154186294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lori Heberley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053080515 PECOS PAC ID: 9335584978 Enrollment ID: I20240305002307 |
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