Individual
IRIDIOUS CHARLES HALLBACK JR.
Active
Individual
IRIDIOUS CHARLES HALLBACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NJ
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
08/13/2026
Update your record
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