Provider Demographics
NPI:1144592502
Name:SOUTH JERSEY HEALTHCARE
Entity type:Organization
Organization Name:SOUTH JERSEY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SJH, DIRECTOR FOR REHABCARE
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FRANCESCHINI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT, CLT
Authorized Official - Phone:856-641-7873
Mailing Address - Street 1:1430 W SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6927
Mailing Address - Country:US
Mailing Address - Phone:856-641-7873
Mailing Address - Fax:856-692-6132
Practice Address - Street 1:201 TOMLIN STATION PARK SUITE D
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062
Practice Address - Country:US
Practice Address - Phone:856-241-2533
Practice Address - Fax:856-575-4988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00434800261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy