Organization · NPI-2
Cuidado Casero Home Health Care Of New Jersey
Home Health Aide · Brick, NJ
NPI number1073673257
StatusActive
Last updated in NPPESSep 28, 2009
Details
- NPI
- 1073673257
- Entity type
- Organization (NPI-2)
- Legal business name
- Cuidado Casero Home Health Care Of New Jersey
- Organization subpart
- No
- Enumeration date
- Dec 11, 2006
- Last updated
- Sep 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 251G00000X | Hospice Care, Community Based | 24111 | NJ |
Practice location
74 Brick Blvd Ste 120Pavillion Professional Center
Brick, NJ 08723-7984
Phone 732-477-3626 · Fax 732-477-3628
Mailing address
1110 N Carroll AveSouthlake, TX 76092-5306
Phone 817-310-1100 · Fax 817-310-1197
Authorized official
Carmen Santiago
Ceo
8173101100
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