Organization
ESSEX MEDICAL DAY CARE LLC
Active
Other names
Home Away From Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX RUBIN (PRESIDENT)
(973) 662-9191
Entity
Organization
Contact information
Practice address
263 HILLSIDE AVE, NUTLEY, NJ 07110-1180
(973) 662-9191
(973) 662-1112
Mailing address
263 HILLSIDE AVENUE, NUTLEY, NJ 07110-1180
(973) 662-9191
(973) 662-1112
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
308120
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078271
—
NJ
Enumeration date
02/21/2007
Last updated
08/22/2020
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