Organization
ASSISTED INDEPENDENCE SERVICES, INC,
Active
Other names
Homewell Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS E DAUGHERTY (PRESIDENT)
(732) 922-4100
Entity
Organization
Contact information
Practice address
3455 STATE ROUTE 66, SUITE 3, NEPTUNE, NJ 07753-2758
(732) 922-4100
(732) 210-0366
Mailing address
3455 STATE ROUTE 66, SUITE 3, NEPTUNE, NJ 07753-2758
(732) 922-4100
(732) 210-0366
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0090900
NJ
Other
Enumeration date
08/11/2008
Last updated
03/21/2011
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