# BEAVER DAM HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interim HealthCare of Northern Ocean County
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730515669
- **Authorized official:** TAMARA LOBRAVICO (OWNER)
- **Authorized official phone:** (732) 451-3431

## Contact information

- **Practice address:** 2401 BRIDGE AVE, SUITE C2, POINT PLEASANT BORO, NJ 08742-4321
- **Practice address phone:** (732) 451-3431
- **Practice address fax:** (732) 451-3515
- **Mailing address:** 2401 BRIDGE AVE, SUITE C2, POINT PLEASANT BORO, NJ 08742-4321
- **Mailing address phone:** (732) 451-3431
- **Mailing address fax:** (732) 451-3515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

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