Organization Name: | EMBRACING HOSPICECARE OF NEW JERSEY WEST, LLC |
NPI Number: | 1376556704 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICK TANGOLICS (C.O.O.) |
Mailing Address: | 109 S Main St Suite 23 Cranbury |
State: | NJ US |
Postal Code: | 085123174 |
Phone Number: | 6096629800 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 24072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |