| NPI | 1265536981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZARDO DOMINGO GUMABON Sole Propiertor 732-473-1569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NJ HP0044900) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NJ HP0044900) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |