Provider Demographics
NPI:1306278817
Name:STRENGTH TO LOVE
Entity type:Organization
Organization Name:STRENGTH TO LOVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:E
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:609-261-9272
Mailing Address - Street 1:40 HIGH STREET
Mailing Address - Street 2:REAR ENTRANCE (SUITE 2)
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060
Mailing Address - Country:US
Mailing Address - Phone:609-261-9272
Mailing Address - Fax:609-261-4832
Practice Address - Street 1:40 HIGH STREET
Practice Address - Street 2:REAR ENTRANCE (SUITE 2)
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060
Practice Address - Country:US
Practice Address - Phone:609-261-9272
Practice Address - Fax:609-261-4832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJJ61733926551552347C00000X
NJ174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty