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 |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2024-05-01 |
Last Update Date | 2024-06-25 |