Individual
ELAINE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 HAWTHORNE CT, ROCKAWAY, NJ 07866-2252
(201) 986-6711
Mailing address
122 HAWTHORNE CT, ROCKAWAY, NJ 07866-2252
(917) 886-3944
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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