# OCEANWIDE SERVICES CORP

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

## Provider details

- **NPI number:** 1144873084
- **Authorized official:** YUNGLIM KIM (ADMINISTRATOR)
- **Authorized official phone:** (201) 402-7763

## Contact information

- **Practice address:** 21 GRAND AVE STE 124, PALISADES PARK, NJ 07650-1077
- **Practice address phone:** (201) 402-7763
- **Mailing address:** 21 GRAND AVE STE 124, PALISADES PARK, NJ 07650-1077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2019
- **Last updated:** 07/19/2019