# HEIGHTS HOME CARE PC

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

## Provider details

- **NPI number:** 1093752255
- **Authorized official:** DIANE S RENNER (ADM)
- **Authorized official phone:** (973) 304-4661

## Contact information

- **Practice address:** 288 BOULEVARD, HASBROUCK HEIGHTS, NJ 07604-1315
- **Practice address phone:** (201) 288-6781
- **Practice address fax:** (201) 288-2734
- **Mailing address:** 282 LINCOLN AVE, HAWTHORNE, NJ 07506-1260
- **Mailing address phone:** (973) 304-4661
- **Mailing address fax:** (973) 304-4662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 39369 | NJ | Yes |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 02/08/2017