Organization
INDEPENDENCE HOME CARE ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARAT GRABOV (CEO)
(917) 721-7747
Entity
Organization
Contact information
Practice address
86 BLOOMFIELD AVE, NEWARK, NJ 07104-1905
(917) 721-7747
Mailing address
86 BLOOMFIELD AVE, NEWARK, NJ 07104-1905
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NJ
Other
Enumeration date
08/29/2006
Last updated
07/21/2022
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