Organization
PETEMOMMY'S PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JURDIA C GARRETT-HILL (OWNER)
(917) 341-3624
Entity
Organization
Contact information
Practice address
70 BEDFORD ST, EAST ORANGE, NJ 07018-1830
(917) 341-3624
Mailing address
PO BOX 2234, EAST ORANGE, NJ 07019-2234
(973) 640-3827
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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