| Waiver Services | |
|
1001 Briggs Rd Ste 200 Mount Laurel NJ 08054-4100 | |
| (856) 608-8761 | |
| Not Available |
| Full Name | Waiver Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1001 Briggs Rd Ste 200, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Timothy Whobrey (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5026307249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waiver Services 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: (502) 394-2100 | Waiver Services 1001 Briggs Rd Ste 200 Mount Laurel NJ 08054-4100 Ph: (856) 608-8761 |
| NPI Number | 1093050668 |
|---|---|
| Provider Enumeration Date | 12/07/2012 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093050668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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