| Organization Name: | HOLY REDEEMER VISITING NURSE AGENCY |
| NPI Number: | 1093789851 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUSSELL R WAGNER (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 6550 Delilah Rd Suite 501 Egg Harbor Township |
| State: | NJ US |
| Postal Code: | 082345102 |
| Phone Number: | 6097610300 |
| Fax Number: | 6097613294 |
| NPI Enumeration Date: | 02/16/2006 |
| NPI Last Update Date: | 12/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 22640 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |