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Organization
TRISTATE HEALTH AND HOMECARE AGENCY, INC.
Active
Organization
TRISTATE HEALTH AND HOMECARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIOLA A AGBOOLA (CEO)
(347) 276-1280
Entity
Organization
Contact information
Practice address
251 OSBORNE TER, NEWARK, NJ 07112-2103
(973) 923-8887
Mailing address
251 OSBORNE TER, NEWARK, NJ 07112-2103
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
HP0056000
NJ
251E00000X
Home Health Agency
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
385H00000X
Respite Care
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
03/06/2018
Last updated
02/24/2021
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