# PROMISE HEALTH CARE NURSING SERVICE NJ INC

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

## Provider details

- **NPI number:** 1184222713
- **Authorized official:** KEHINDE BRENDA OLATUBOSUN RN, BSN (OWNER)
- **Authorized official phone:** (732) 888-1012

## Contact information

- **Practice address:** 12 NORTHFIELD CT, HAZLET, NJ 07730-1259
- **Practice address phone:** (732) 888-1012
- **Practice address fax:** (732) 553-3000
- **Mailing address:** 12 NORTHFIELD CT, HAZLET, NJ 07730-1259
- **Mailing address phone:** (732) 888-1012
- **Mailing address fax:** (732) 553-3000

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2020
- **Last updated:** 08/20/2021