Organization
EXCELLENT HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILDA DIAZ (PRESIDENT)
(973) 742-3828
Entity
Organization
Contact information
Practice address
640 BROADWAY, PATERSON, NJ 07514-1984
(973) 742-3828
(973) 742-2848
Mailing address
640 BROADWAY, PATERSON, NJ 07514-1984
(973) 742-3828
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0047200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065889
—
NJ
Enumeration date
03/21/2007
Last updated
04/03/2018
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