Organization
GRAND HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNGEUN KIM (PRESIDENT)
(646) 270-6313
Entity
Organization
Contact information
Practice address
21 GRAND AVE STE 502, PALISADES PARK, NJ 07650-1083
(201) 941-0990
(888) 653-2260
Mailing address
21 GRAND AVE STE 502, PALISADES PARK, NJ 07650-1083
(201) 941-0990
(888) 653-2260
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450492419
HOME CARE
NJ
Enumeration date
08/23/2020
Last updated
08/23/2020
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