Organization
SALEM HOME CARE SERVICES LLC
Active
Other names
Memorial Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE HOLTSFORD (DIRECTOR BUSINESS OFFICE SUPPORT)
(615) 465-7466
Entity
Organization
Contact information
Practice address
310 SALEM WOODSTOWN RD, 2ND FLOOR, 2 EAST, SALEM, NJ 08079-2064
(856) 678-8500
(856) 678-5180
Mailing address
310 SALEM WOODSTOWN RD, 2ND FLOOR, 2 EAST, SALEM, NJ 08079-2064
(856) 678-8500
(856) 678-5180
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
11702
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009913000
AMERIHEALTH
NJ
01
—
1084086
NJ HEALTH
NJ
01
—
2K2051
ACS HEALTH NET
NJ
01
—
3067511
AETNA
NJ
01
—
347720201
US DEPT OF LABOR
NJ
01
—
5855482
AETNA NON-HMO
NJ
01
—
9035702
CCPED
NJ
05
—
9036008
—
NJ
01
—
SA000000802
AMERICHOICE
NJ
Enumeration date
01/11/2006
Last updated
02/25/2015
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