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Contact Information

2ND CHANCE THROUGH BEHAVIOR SUPPORTS
921 GRENVILLE DR
BLACKWOOD, NJ08012-1343
 Phone: 856-831-6646
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for 2ND CHANCE THROUGH BEHAVIOR SUPPORTS

NPI Number 1346058914
LBN Legal business name 2ND CHANCE THROUGH BEHAVIOR SUPPORTS
Authorized official DYSHEA UPSHAW - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2024
Last updated 12/27/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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