Organization
KATES COMMUNITY CARE
Active
Organization
KATES COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSARIEMEN AGHO (CEO)
(646) 577-7116
Entity
Organization
Contact information
Practice address
701 S 19TH ST, NEWARK, NJ 07103-1033
(646) 577-7116
Mailing address
701 S 19TH ST, NEWARK, NJ 07103-1033
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/01/2024
Last updated
11/07/2024
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