Organization
VENCER CARE, LLC
Active
Other names
Vencer Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BAHRI (PRESIDENT)
(201) 881-0773
Entity
Organization
Contact information
Practice address
255 W SPRING VALLEY AVE, SUITE 201, MAYWOOD, NJ 07607-1445
(201) 881-0773
(201) 881-0776
Mailing address
255 W SPRING VALLEY AVE, SUITE 201, MAYWOOD, NJ 07607-1445
(201) 881-0773
(201) 881-0776
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
28RS00734800
NJ
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
28RS00734800
NJ
3336H0001X
Home Infusion Therapy Pharmacy
28RS00734800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463612
—
NJ
Enumeration date
10/10/2013
Last updated
04/28/2017
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