Organization
VINELAND CUIDADO CASERO HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN SANTIAGO BSN (CEO)
(817) 310-1100
Entity
Organization
Contact information
Practice address
45 W LANDIS AVE, VINELAND, NJ 08360-8122
(856) 696-9991
(856) 696-9982
Mailing address
1110 N CARROLL AVE, SOUTHLAKE, TX 76092-5306
(817) 310-1100
(817) 310-1197
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HPO223201
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039527
—
NJ
Enumeration date
02/26/2007
Last updated
02/09/2009
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