Organization
ELDIVINE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVANGELINE N. EZIKE RN (DIRECTOR)
(973) 207-9886
Entity
Organization
Contact information
Practice address
142 MIDLAND PL, NEWARK, NJ 07106-3311
(973) 207-9886
(973) 416-2825
Mailing address
142 MIDLAND PL, NEWARK, NJ 07106-3311
(973) 207-9886
(973) 416-2825
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
282E00000X
Long Term Care Hospital
—
—
282N00000X
General Acute Care Hospital
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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