Organization
EMINENCE HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SHAFIR RN (ADMINISTRATOR)
(917) 805-0702
Entity
Organization
Contact information
Practice address
3600 ROUTE 66 STE 150, NEPTUNE, NJ 07753-2645
(917) 805-0702
(718) 280-1050
Mailing address
3600 ROUTE 66 STE 150, NEPTUNE, NJ 07753-2645
(917) 805-0702
(718) 280-1050
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP0306400
DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
02/10/2021
Last updated
02/10/2021
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