Organization
AUTHENTIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOEL CUBA PACHECO (OWNER)
(609) 857-2296
Entity
Organization
Contact information
Practice address
6135 BERGENLINE AVE STE 4, WEST NEW YORK, NJ 07093-1562
(609) 807-2293
Mailing address
6135 BERGENLINE AVE STE 4, WEST NEW YORK, NJ 07093-1562
(609) 807-2293
(609) 857-2295
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
08/26/2024
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