Provider Demographics
NPI:1780860486
Name:VOORHEES PEDIATRIC CENTER ASSOCIATES LIMITED PARTNERSHIP DBA VPF
Entity type:Organization
Organization Name:VOORHEES PEDIATRIC CENTER ASSOCIATES LIMITED PARTNERSHIP DBA VPF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GOLDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA,BA
Authorized Official - Phone:856-346-3300
Mailing Address - Street 1:1304 LAUREL OAK RD
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4310
Mailing Address - Country:US
Mailing Address - Phone:856-346-3300
Mailing Address - Fax:856-435-4223
Practice Address - Street 1:1304 LAUREL OAK RD
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4310
Practice Address - Country:US
Practice Address - Phone:856-346-3300
Practice Address - Fax:856-435-4223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0604163140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric