| NPI | 1134643471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMILA A. IDRIS Business Manager 732-877-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NJ NA0008184328) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |