New York
New York
72 Pancoast Boulevard
Delran
NJ
08075
005
Burlington
6160
Philadelphia, PA-NJ PMSA
03
6
202/811
035HD055
N
Y
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
2007-06-15 00:00:00
267322
Non-Profit
Independence IV, Inc.
212 Pancoast Blvd
Delran
NJ
08075
609-267-5928
609-267-4971
46329
Non-Profit
NJ39Q031003
NJ39Q031003
NJ39Q031003
Oaks Integrated Care
770 Woodlane Road
Mt Holly
NJ
08060
6092675928
Patricia.Pirylis@oaksintcare.org
NJ39Q031003
Independent IV Consumer Home
2022-06-15 00:00:00
2023-06-14 00:00:00
2023
Q3
2023-06-14 00:00:00
12
6
Y
N
N
PRAC
PRAC/811
PRAC
Active
PRAC 202/811
39.7372742200328450
Below 80% FMR
0
6
0
0
0
0
0
1218
0
0
0