Organization
CUIDADO CASERO HOME HEALTH CARE OF NEW JERSEY
Active
Organization
CUIDADO CASERO HOME HEALTH CARE OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN SANTIAGO (CEO)
(817) 310-1100
Entity
Organization
Contact information
Practice address
74 BRICK BLVD STE 120, PAVILLION PROFESSIONAL CENTER, BRICK, NJ 08723-7984
(732) 477-3626
(732) 477-3628
Mailing address
1110 N CARROLL AVE, SOUTHLAKE, TX 76092-5306
(817) 310-1100
(817) 310-1197
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
24111
NJ
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039527
—
NJ
Enumeration date
12/11/2006
Last updated
09/28/2009
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