Organization
TRI-STATE HEALTH & HOMECARE AGENCY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUBUNMI ADETULE (REGISTERED NURSE)
(973) 517-7915
Entity
Organization
Contact information
Practice address
3 MARSHALL STREET APT 7R, IRVINGTON, NJ 07111
(973) 517-7915
Mailing address
3 MARSHALL ST APT 7R, IRVINGTON, NJ 07111-8715
(973) 517-7915
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
26NR15005500
NJ
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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