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Organization
DELORES HEART,LLC
Active
Organization
DELORES HEART,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO PHILLIPS (MANAGER)
(973) 743-0489
Entity
Organization
Contact information
Practice address
DELORES HEART, 17 DODD ST. STE A5, BLOOMFIELD, NJ 07003
Mailing address
17 DODD ST APT A5, BLOOMFIELD, NJ 07003-4626
(973) 931-7705
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
NULL
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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