# JERSEY SHORE HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Visiting Angels
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861882540
- **Authorized official:** BRENT WILSON (VP)
- **Authorized official phone:** (254) 744-4277

## Contact information

- **Practice address:** 1913 ATLANTIC AVE, MANASQUAN, NJ 08736-1029
- **Practice address phone:** (732) 722-7747
- **Mailing address:** 815 LAKE AIR DR, WACO, TX 76710-5756

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2015
- **Last updated:** 02/02/2015