# PETEMOMMY'S PLACE LLC

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

## Provider details

- **NPI number:** 1386279180
- **Authorized official:** JURDIA C GARRETT-HILL (OWNER)
- **Authorized official phone:** (917) 341-3624

## Contact information

- **Practice address:** 70 BEDFORD ST, EAST ORANGE, NJ 07018-1830
- **Practice address phone:** (917) 341-3624
- **Mailing address:** PO BOX 2234, EAST ORANGE, NJ 07019-2234
- **Mailing address phone:** (973) 640-3827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2020
- **Last updated:** 03/12/2020