Organization Name: | CUIDADO CASERO HOME HEALTH CARE OF NEW JERSEY |
NPI Number: | 1073673257 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARMEN SANTIAGO (CEO) |
Mailing Address: | 74 Brick Blvd Ste 120 Pavillion Professional Center Brick |
State: | NJ US |
Postal Code: | 087237984 |
Phone Number: | 7324773626 |
Fax Number: | 7324773628 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 09/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 24111 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |