# QUEEN TENDER CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053590786
- **Authorized official:** MRS. HERVIANNE FONROSE CNA (ADMINISTRATOR)
- **Authorized official phone:** (732) 361-3113

## Contact information

- **Practice address:** 901 3RD AVE, ASBURY PARK, NJ 07712-5803
- **Practice address phone:** (732) 361-3113
- **Mailing address:** 1333 EMBURY AVE, NEPTUNE, NJ 07753-5041
- **Mailing address phone:** (732) 361-3113
- **Mailing address fax:** (732) 359-6210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HP0105300 | NJ | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 10/31/2007