Organization
TAND L CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELINDA COOPER (CEO)
(302) 836-8160
Entity
Organization
Contact information
Practice address
1458 MALLARD RD, GLASSBORO, NJ 08028-8337
(888) 523-4197
Mailing address
1458 MALLARD RD, GLASSBORO, NJ 08028-8337
(888) 523-4197
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HP0198200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60158975
NON-PAR PROVIDER ID NUMBER WITH HORIZON NJ HEALTH INSURANCE
NJ
Enumeration date
06/30/2015
Last updated
06/30/2015
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