# DELORES HEART,LLC

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

## Provider details

- **NPI number:** 1316560501
- **Authorized official:** MR. ANTONIO PHILLIPS (MANAGER)
- **Authorized official phone:** (973) 743-0489

## 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
- **Mailing address phone:** (973) 931-7705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2020
- **Last updated:** 05/21/2020