Organization
SACRED HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYSSETE M CANO RN (DIRECTOR OF NURSING)
(973) 337-5676
Entity
Organization
Contact information
Practice address
96 MIDLAND AVE, KEARNY, NJ 07032-2717
(973) 337-5676
Mailing address
96 MIDLAND AVE, KEARNY, NJ 07032-2717
(973) 337-5676
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0267700
NJ
Other
Enumeration date
05/14/2018
Last updated
09/03/2022
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