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Organization

JERSEY STAKE LLC

Active
Other names
Visiting Angels of Fort Lee
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TUCCI (PRESIDENT)
(201) 242-0305
Entity
Organization

Contact information

Practice address
2125 CENTER AVE STE 110, FORT LEE, NJ 07024-5821
(201) 242-0305
(201) 242-0345
Mailing address
19 ORCHARD PL, HAWTHORNE, NJ 07506-3123

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
06/08/2022
Last updated
01/12/2023
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