Organization
ROBERT W. DEVINE JR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALIA MARCOS RODRIGO CHHA/CNA (HHA/CAREGIVER)
(732) 354-0089
Entity
Organization
Contact information
Practice address
126 AINSWORTH AVE, EAST BRUNSWICK, NJ 08816-1211
(732) 354-0089
Mailing address
126 AINSWORTH AVE, EAST BRUNSWICK, NJ 08816-1211
(732) 354-0089
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
26NH12487200
NJ
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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