Organization
BE WHOLE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEDRICK D SIMS (VICE PRESIDENT)
(201) 773-6328
Entity
Organization
Contact information
Practice address
260 CENTRAL AVE, HACKENSACK, NJ 07601-2428
(201) 490-7792
Mailing address
75 PALSA AVE, ELMWOOD PARK, NJ 07407-1213
(201) 773-6328
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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