Organization
ST MARY HOME CARE INC
Active
Other names
LIGHT HOUSE HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
HANI GERGIS (PARTNER)
(201) 640-5954
Entity
Organization
Contact information
Practice address
141 SUTTON PL, NEW MILFORD, NJ 07646-1205
(201) 679-6153
Mailing address
141 SUTTON PL, NEW MILFORD, NJ 07646-1205
(201) 679-6153
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/26/2020
Last updated
06/25/2021
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