# AUTHENTIC HOME HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Care Central
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972821122
- **Authorized official:** MR. MARIO B BRIZUELA M.B.A (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (201) 200-0935

## Contact information

- **Practice address:** 176 MALLORY AVE, JERSEY CITY, NJ 07304-1218
- **Practice address phone:** (201) 200-0935
- **Practice address fax:** (201) 200-0935
- **Mailing address:** 176 MALLORY AVE, JERSEY CITY, NJ 07304-1218
- **Mailing address phone:** (201) 200-0935
- **Mailing address fax:** (201) 200-0935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 0101006690 | NJ | Yes |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 05/12/2010
