Organization
EXCELLENT HOME HEALTH CARE 11 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WILDA DIAZ (PRESIDENT)
(973) 742-3828
Entity
Organization
Contact information
Practice address
6811 BERGENLINE AVE, GUTTENGBERG, NJ 07093-1807
(201) 861-8500
(201) 861-8900
Mailing address
6811 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1807
(201) 861-8500
(201) 861-8900
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0047201
NJ
Other
Enumeration date
12/09/2008
Last updated
12/10/2008
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