| NPI | 1093240210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILSON Owner 973-519-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NJ 37PC00503200) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: NJ 37PC00503200) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2018-01-30 |