| Eihab Human Services New Jersey, Inc. | |
|
1000 Axl Dr Apt 1-204 Toms River NJ 08755-1625 | |
| (718) 276-6101 | |
| Not Available |
| Full Name | Eihab Human Services New Jersey, Inc. |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 1000 Axl Dr Apt 1-204, Toms River, New Jersey |
| Authorized Official Name and Position | Ahmed Hegazy (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7182766101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eihab Human Services New Jersey, Inc. 16818 S Conduit Ave Jamaica NY 11434-4806 Ph: (718) 276-6101 | Eihab Human Services New Jersey, Inc. 1000 Axl Dr Apt 1-204 Toms River NJ 08755-1625 Ph: (718) 276-6101 |
| NPI Number | 1124666920 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 02/21/2020 |
| Certification Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124666920 | NPI | - | NPPES |
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