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Organization
SAN JUAN HEART, LLC
Active
Organization
SAN JUAN HEART, LLC
Active
Other names
Saint John
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN DE LA CRUZ (CEO)
(973) 458-8292
Entity
Organization
Contact information
Practice address
625 MAIN AVE, PASSAIC, NJ 07055-4952
(973) 458-8292
(973) 777-1637
Mailing address
39 AYCRIGG AVE, PASSAIC, NJ 07055-5664
(973) 458-8292
(973) 777-1637
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0046601
NJ
Other
Enumeration date
08/09/2009
Last updated
08/09/2009
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