Organization
ACTIVE ASSIST HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE T TUCKER (OWNER)
(856) 374-1580
Entity
Organization
Contact information
Practice address
11 ENTERPRISE CT UNIT 8, SEWELL, NJ 08080-4112
(856) 374-1580
(856) 374-1112
Mailing address
135 TREELINE DR, DEPTFORD, NJ 08096-6688
(856) 374-1580
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0270200
NJ
251E00000X
Home Health Agency
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—
Other
Enumeration date
01/29/2018
Last updated
03/17/2018
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