# SPARKLING CLEAN HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sparkling Clean Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942824040
- **Authorized official:** JO-ANN JEFFERSON CNA (OWNER)
- **Authorized official phone:** (973) 980-2624

## Contact information

- **Practice address:** 28 VALLEY RD, MONTCLAIR, NJ 07042-2709
- **Practice address phone:** (973) 980-2624
- **Practice address fax:** (973) 744-6283
- **Mailing address:** 45 HIGH ST, MONTCLAIR, NJ 07042-2401
- **Mailing address phone:** (973) 980-2624
- **Mailing address fax:** (973) 980-2624

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2020
- **Last updated:** 06/04/2020
