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Organization
HALO HEART CARE LLC
Active
Organization
HALO HEART CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. QUEENELLA WISNER (CO-OWNER)
(267) 401-7675
Entity
Organization
Contact information
Practice address
71 RANDALL AVE, TRENTON, NJ 08611-2509
(267) 401-7675
Mailing address
71 RANDALL AVE, TRENTON, NJ 08611-2509
(267) 401-7675
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
347E00000X
Transportation Broker
—
NULL
Other
Enumeration date
06/29/2021
Last updated
01/24/2023
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