Laura Fonville

LBN: Laura Fonville
Laura Fonville is an health care organization with primary practice located at 218 Pine Ave , Egg Harbor Township NJ 08234-5339. The organization recently has only one registered license in Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Laura Fonville can be contacted via phone (609) 594-7726, or through Fonville, Laura Angela via phone (609) 594-7726.

Contact Information

Primary practice address
218 Pine Ave Egg Harbor Township NJ 08234-5339
Phone: (609) 594-7726
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fonville, Laura Angela
Phone: (609) 594-7726

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1134626591
LBN Legal business name Laura Fonville
DBA Doing business as
Authorized official Fonville, Laura Angela
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2018
Last updated Apr 11th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134626591 NPPES
New Jersey MEDICAID 0500321

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