TRISTATE DOMESTIC,LLC

EAST ORANGE, NJ
NPI1164620803
Entity TypeOrganization
Authorized ContactDOMINICK IACOVIELLO
President
973-678-3030
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Additional Taxonomies343900000X Non-emergency Medical Transport (VAN)
347C00000X Private Vehicle
Enumeration Date2007-07-04
Last Update Date2020-08-22
Business Address
TRISTATE DOMESTIC,LLC
12 EVERETT ST
EAST ORANGE, NJ 07017-1740
Phone number: 973-678-3030
Mailing Address
TRISTATE DOMESTIC,LLC
12 EVERETT ST
EAST ORANGE, NJ 07017-1740
Phone number: