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
596 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-1831
(201) 945-5100
(201) 943-6251
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
HP0102801
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06312004
—
NJ
Enumeration date
05/21/2007
Last updated
08/22/2020
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