# FASE HEALTH CARE

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

## Provider details

- **NPI number:** 1104435098
- **Authorized official:** MR. FRANK IGIEBOR (OWNER)
- **Authorized official phone:** (917) 449-8183

## Contact information

- **Practice address:** 27 LARK DR, SOUTH RIVER, NJ 08882-2605
- **Practice address phone:** (917) 449-8183
- **Mailing address:** 27 LARK DR, SOUTH RIVER, NJ 08882-2605
- **Mailing address phone:** (917) 449-8183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372500000X | Chore Provider | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2020
- **Last updated:** 08/19/2022