| Tender Heart Supportive Services | |
|
12 Village Gate Rd Washington NJ 07882-4402 | |
| (973) 517-9271 | |
| (908) 223-1833 |
| Full Name | Tender Heart Supportive Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12 Village Gate Rd, Washington, New Jersey |
| Authorized Official Name and Position | Helen Olubukola Kehinde (DIRECTOR) |
| Authorized Official Contact | 9735179271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tender Heart Supportive Services 12 Village Gate Rd Washington NJ 07882-4402 Ph: (973) 517-9271 | Tender Heart Supportive Services 12 Village Gate Rd Washington NJ 07882-4402 Ph: (973) 517-9271 |
| NPI Number | 1578196523 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578196523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| 251X00000X | Supports Brokerage | () | Secondary |
| 385H00000X | Respite Care | () | Secondary |
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