| NPI | 1609601897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN K WILSON Co CEO 732-501-7563 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 251E00000X Home Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-06 |