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Custodial Care Services LLC

Home Health in Jersey City, NJ. Organization (NPI-2).

NPI number1841553260
StatusActive
Last updated in NPPESJun 20, 2012

Details

NPI
1841553260
Entity type
Organization (NPI-2)
Legal business name
Custodial Care Services LLC
Organization subpart
No
Enumeration date
Jun 20, 2012
Last updated
Jun 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home HealthHP0156600NJYes
251J00000X Nursing CareHP0156600NJ

Practice location

35 Journal Sq
Suite 624
Jersey City, NJ 07306-4007

Phone 201-721-6365 · Fax 201-721-6366

Mailing address

35 Journal Sq
Suite 624
Jersey City, NJ 07306-4007

Phone 201-721-6365 · Fax 201-721-6366

Authorized official

Dennis Pe
Managing Owner
2017216365

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