# EXCELLENT HOMECARE OF SOUTH JERSEY

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

## Provider details

- **NPI number:** 1427484278
- **Authorized official:** STEPHEN A TUCKER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (609) 440-9160

## Contact information

- **Practice address:** 1199 E PARK AVE, SUITE B, VINELAND, NJ 08360-3369
- **Practice address phone:** (856) 265-0710
- **Mailing address:** 1199 E PARK AVE, SUITE B, VINELAND, NJ 08360-3369
- **Mailing address phone:** (856) 265-0710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HP0179000 | NJ | Yes |
| 251E00000X | Home Health Agency | HP0179200 | NJ | — |

## Other

- **Enumeration date:** 09/24/2013
- **Last updated:** 09/24/2013