Organization
SPECIAL PRIVATE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIHOSA N TYSON (AGENT)
(732) 245-9430
Entity
Organization
Contact information
Practice address
1808 CYPRESS LN, EAST BRUNSWICK, NJ 08816-5269
(732) 245-9430
Mailing address
100 RYDERS LN STE 5-255, MILLTOWN, NJ 08850-1263
(732) 245-9430
(732) 360-8624
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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