Provider Demographics
NPI:1023409497
Name:COUNTY OF CAPE MAY
Entity type:Organization
Organization Name:COUNTY OF CAPE MAY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GROOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-886-2784
Mailing Address - Street 1:4 MOORE RD # DN620
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1654
Mailing Address - Country:US
Mailing Address - Phone:609-886-2784
Mailing Address - Fax:609-889-0344
Practice Address - Street 1:4005 ROUTE 9 S
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:NJ
Practice Address - Zip Code:08242-1911
Practice Address - Country:US
Practice Address - Phone:609-886-2784
Practice Address - Fax:609-889-0344
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF CAPE MAY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals