Organization
PROFESSIONAL CARE HOME CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELLIE KRIVOSHEYEV (PRESIDENT)
(347) 683-5773
Entity
Organization
Contact information
Practice address
2050 CENTER AVE STE 318, FORT LEE, NJ 07024-4932
(347) 683-5773
(201) 944-4029
Mailing address
2050 CENTER AVE STE 318, FORT LEE, NJ 07024-4932
(347) 683-5773
(201) 944-4029
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0275000
NJ
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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