| NPI | 1962259655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETIAM JOYCELINE KABA CEO 201-989-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-06-25 |