Doctor Name: | KRISTEN GORACY |
NPI Number: | 1659761252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1000 Galloping Hill Rd Union, NJ - 070837989 |
Business Phone Number: | 9086861505 |
Business Fax Number: | |
Mailing Address: | 75 Raritan River Rd, CALIFON |
State: | NJ |
Postal Code: | 078304233 |
Phone Number: | 9084211181 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2015 |
NPI Last Update Date: | 02/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |