Organization
KNM HOME HEALTH CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA L OGLESBY (VICE PRESIDENT)
(609) 265-1000
Entity
Organization
Contact information
Practice address
14 COTTONWOOD DR, LUMBERTON, NJ 08048-5240
(609) 265-1000
(609) 265-9976
Mailing address
PO BOX 484, LUMBERTON, NJ 08048-0484
(609) 265-1000
(609) 265-9976
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0068700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0685100
JACC/CAP/GO
NJ
Enumeration date
04/17/2008
Last updated
04/20/2008
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