Organization
ESSEX VALLEY VISITING NURSE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL RADER RN, MSN (INTERIM EXECUTIVE DIRECTOR)
(973) 412-2000
Entity
Organization
Contact information
Practice address
274 S ORANGE AVE FL 3, NEWARK, NJ 07103-2419
(973) 412-2000
(973) 481-6395
Mailing address
274 S ORANGE AVE FL 3, NEWARK, NJ 07103-2419
(973) 412-2000
(973) 481-6395
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
22434
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3690008
—
NJ
05
—
3690016
—
NJ
05
—
3690032
—
NJ
Enumeration date
09/26/2006
Last updated
03/17/2008
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