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Organization

AUXILIARY HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA LIZA DEMITRO (CEO)
(973) 767-6772
Entity
Organization

Contact information

Practice address
283 N 8TH ST, PROSPECT PARK, NJ 07508-2038
(973) 767-6772
Mailing address
283 N 8TH ST, PROSPECT PARK, NJ 07508-2038

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
03/27/2024
Last updated
03/27/2024
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Product
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