Provider Demographics
NPI:1144012782
Name:UNITY HEART COORDINATION SERVICES
Entity type:Organization
Organization Name:UNITY HEART COORDINATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY HEAD
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-320-8242
Mailing Address - Street 1:1907 DEPTFORD CENTER RD STE 3
Mailing Address - Street 2:
Mailing Address - City:DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-5633
Mailing Address - Country:US
Mailing Address - Phone:856-320-8242
Mailing Address - Fax:
Practice Address - Street 1:1907 DEPTFORD CENTER RD STE 31013
Practice Address - Street 2:
Practice Address - City:DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08096-5633
Practice Address - Country:US
Practice Address - Phone:856-320-8242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage