Individual
AMAH E GOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
1869 MANOR DR APT C, UNION, NJ 07083-4677
(908) 422-2459
Mailing address
1869 MANOR DR APT C, UNION, NJ 07083-4677
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
26NH05493100
NJ
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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