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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