My Father's House, Inc
My Father's House, Inc is a health care provider in Gloucester City, NJ. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 104 N King St, Gloucester City, NJ 08030-1417, US |
|Practice Location Phone||856-742-0900|
|Practice Location Fax||856-742-0811|
|Legal Business Name||MY FATHER'S HOUSE, INC|
|Enumeration Date ? ||Jun 5, 2007|
|Last Update Date ? ||Aug 1, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of My Father's House, Inc
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Rehabilitation |
Legacy Provider IDs of My Father's House, Inc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of My Father's House, Inc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the My Father's House, Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Ms. Miriam Broderick (LCADC, CCS)|
|Authorized Official Title/Position||CEO|
|Authorized Official Phone Number||856-742-0900|