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Organization
OLYMPIC GROUP HOME AND HOMECARE SERVICES
Active
Organization
OLYMPIC GROUP HOME AND HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE K NYATOME ME.D (MANAGER)
(201) 522-6526
Entity
Organization
Contact information
Practice address
105 WOODLAND ROAD, BLOOMFIELD, NJ 07003
(201) 522-6526
Mailing address
105 WOODLAND RD, BLOOMFIELD, NJ 07003-5201
(201) 522-6526
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0400510330
NJ
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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