| Resources For Independent Living, Inc. | |
|
193 N Broadway Pennsville NJ 08070-1417 | |
| (856) 678-9400 | |
| (856) 678-9401 |
| Full Name | Resources For Independent Living, Inc. |
|---|---|
| Speciality | Voluntary or Charitable |
| Location | 193 N Broadway, Pennsville, New Jersey |
| Authorized Official Name and Position | Lisa M. Killion-smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6097477745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resources For Independent Living, Inc. 193 N Broadway Pennsville NJ 08070-1417 Ph: (856) 678-9400 | Resources For Independent Living, Inc. 193 N Broadway Pennsville NJ 08070-1417 Ph: (856) 678-9400 |
| NPI Number | 1518402221 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 04/02/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 3678008414 |
|---|---|
| Medicare Enrollment ID | O20241203001444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518402221 | NPI | - | NPPES |
| 0374717 | Medicaid | NJ |
| Provider Name | Julie Deluccy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699948554 PECOS PAC ID: 8426213448 Enrollment ID: I20120626000020 |
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