Organization
PERSONALIZED HOME CARE, LTD. OF N.J.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAL NICOSIA (COMPTROLLER)
(914) 423-6410
Entity
Organization
Contact information
Practice address
73 FERRY ST # 75, NEWARK, NJ 07105-1831
(973) 344-6555
(973) 344-8088
Mailing address
1 EXECUTIVE BLVD, YONKERS, NY 10701-6822
(914) 423-6410
(914) 423-1306
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0102802
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06312012
—
NJ
Enumeration date
05/21/2007
Last updated
08/22/2020
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