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Organization
TOTAL INDEPENDENT COMMUNITY INCLUSION OF NJ
Active
Organization
TOTAL INDEPENDENT COMMUNITY INCLUSION OF NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY IHUOMA (CEO)
(973) 393-1256
Entity
Organization
Contact information
Practice address
24 LINDEN AVE, IRVINGTON, NJ 07111-2521
(973) 393-1256
Mailing address
24 LINDEN AVE, IRVINGTON, NJ 07111-2521
(973) 393-1256
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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