Organization
LADACIN NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA BLACK CARLESIMO (EXECUTIVE DIRECTOR)
(732) 493-5900
Entity
Organization
Contact information
Practice address
1701 KNEELEY BLVD, OCEAN, NJ 07712-7622
(732) 493-5900
(732) 493-5980
Mailing address
1701 KNEELEY BLVD, OCEAN, NJ 07712-7622
(732) 493-5900
(732) 493-5980
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8809526
UNISYS SUBMITTER NUMBER
NJ
Enumeration date
05/02/2007
Last updated
08/22/2020
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