Organization
LIVING DEMENTIA WELL AT HOME COMPANY
Active
Parent organization
LIVING DEMENTIA EDUCATION & TRAINING INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVING DEMENTIA EDUCATION & TRAINING INSTITUTE
Authorized official
MRS. DARLENE TRANQUILLI CDP, CDCM, CADDCT (CHIEF EXECUTIVE OFFICER)
(908) 651-5625
Entity
Organization
Contact information
Practice address
302 MAIN ST, HACKETTSTOWN, NJ 07840-2004
(908) 651-5625
(908) 651-5631
Mailing address
308 MAIN ST, HACKETTSTOWN, NJ 07840-2055
(908) 651-5625
(908) 651-5631
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0276000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP0276000
HOME HEALTH AGENCY
NJ
Enumeration date
04/20/2018
Last updated
06/16/2018
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