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Organization
JERSEY STAKE LLC
Active
Organization
JERSEY STAKE LLC
Active
Other names
Visiting Angels of Fort Lee
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TUCCI (PRESIDENT)
(201) 242-0305
Entity
Organization
Contact information
Practice address
2125 CENTER AVE STE 110, FORT LEE, NJ 07024-5821
(201) 242-0305
(201) 242-0345
Mailing address
19 ORCHARD PL, HAWTHORNE, NJ 07506-3123
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
06/08/2022
Last updated
01/12/2023
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