Organization
PRIDECARE, INC.
Active
Organization
PRIDECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND A MIRRA (PRESIDENT)
(484) 494-3121
Entity
Organization
Contact information
Practice address
1341 HAMBURG TPKE, SUITE 2-2, WAYNE, NJ 07470-4060
(973) 832-4301
(973) 832-4303
Mailing address
1341 HAMBURG TPKE, SUITE 2-2, WAYNE, NJ 07470-4060
(973) 832-4301
(973) 832-4303
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
HP0174000
NJ
Other
Enumeration date
02/22/2016
Last updated
01/07/2020
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