Organization
CARE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ADEGBOYEGA (SC SUPERVISOR)
(773) 715-3154
Entity
Organization
Contact information
Practice address
460 HANCOCK ST, RAHWAY, NJ 07065-5158
(773) 715-3154
Mailing address
460 HANCOCK ST, RAHWAY, NJ 07065-5158
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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