South Jersey Healthcare Life, Inc.

NPI #1033415740 in Vineland, New Jersey

Provider Information

NPI Number: 1033415740
Entity Type: Organization
Organization Name: South Jersey Healthcare Life, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTH JERSEY HEALTH SYSTEM, INC.
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Jan 28, 2011
Last Updated: Jan 28, 2011

Practice Location

Address: 2950 COLLEGE DR
Address 2: SUITE 1E
City: Vineland
State: New Jersey
ZIP Code: 08360-6933
Phone: (856) 641-8624

Authorized Official

Name: MR. WAYNE PENDLETON, MSW
Title: EXECUTIVE DIRECTOR, PACE
Phone: (856) 878-6005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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