Organization
BLMT
Active
Other names
ENGLED MANAGED CARE
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY ORTIZ CRT (MANAGER)
(201) 567-8888
Entity
Organization
Contact information
Practice address
215 UNION ST, HACKENSACK, NJ 07601-4259
(201) 567-8888
(201) 567-8008
Mailing address
215 UNION ST, HACKENSACK, NJ 07601-4259
(201) 567-8888
(201) 567-8008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081388
—
NJ
05
—
02705677
—
NY
Enumeration date
01/12/2007
Last updated
08/22/2020
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