Organization
COUNTRYWIDE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA ROZENBLIT-ADLER (EXECUTIVE DIRECTOR)
(856) 449-8260
Entity
Organization
Contact information
Practice address
5287 MARLTON PIKE STE C, PENNSAUKEN, NJ 08109-4750
(856) 661-1000
Mailing address
5287 MARLTON PIKE STE C, PENNSAUKEN, NJ 08109-4750
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP0296100
LICENSE NUMBER
NJ
Enumeration date
11/04/2019
Last updated
11/04/2019
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