Organization
GOODLAND TLC HOME HEALTH AGENCY
Active
Parent organization
GOODLAND TLC HOME HEALTH AGENCY
Other names
Goodland Medical Diagnostic Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOODLAND TLC HOME HEALTH AGENCY
Authorized official
MRS. OMOBUKOLA ITUA RVT (MANAGER)
(732) 910-2894
Entity
Organization
Contact information
Practice address
4 SKYLINE DR, HAZLET, NJ 07730-1679
(732) 910-2894
Mailing address
4 SKYLINE DR, HAZLET, NJ 07730-1679
(732) 910-2894
(855) 724-5312
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
04/02/2026
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