Organization
EXCELLENT HOMECARE OF SOUTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN A TUCKER (EXECUTIVE DIRECTOR)
(609) 440-9160
Entity
Organization
Contact information
Practice address
1199 E PARK AVE, SUITE B, VINELAND, NJ 08360-3369
(856) 265-0710
Mailing address
1199 E PARK AVE, SUITE B, VINELAND, NJ 08360-3369
(856) 265-0710
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0179000
NJ
251E00000X
Home Health Agency
HP0179200
NJ
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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