Organization
AT HOME WITH VAN DYK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MELCHIONDA (CFO)
(201) 689-7991
Entity
Organization
Contact information
Practice address
288 S VAN DIEN AVE # D, RIDGEWOOD, NJ 07450-5226
(201) 444-4257
(201) 689-7980
Mailing address
644 GOFFLE RD, HAWTHORNE, NJ 07506-3452
(973) 238-4339
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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