Organization
SIDEKICKS RESPITE CARE LLC
Active
Organization
SIDEKICKS RESPITE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKO ANTONELLOS (EXECUTIVE DIRECTOR)
(609) 500-6686
Entity
Organization
Contact information
Practice address
6 BAGGALEY RD, HAMILTON, NJ 08690-1814
(609) 500-6686
Mailing address
PO BOX 9679, TRENTON, NJ 08650-1679
(609) 500-6686
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1118243
NJ
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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