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Organization
CITADEL AT HOME LLC
Active
Organization
CITADEL AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY THOMAS CRAWFORD (VICE PRESIDENT OF OPERATIONS)
(973) 965-0366
Entity
Organization
Contact information
Practice address
7 GLENWOOD AVE STE 412, EAST ORANGE, NJ 07017-1041
(973) 965-0366
(973) 965-0367
Mailing address
1000 GATES AVE STE 4, BROOKLYN, NY 11221-6296
(917) 805-0702
(718) 280-1050
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
09/18/2018
Last updated
03/28/2025
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