Organization
COMMUNITY CARE ENHANCEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GURAM TCHELIDZE (OWNER/CTO)
(732) 931-4633
Entity
Organization
Contact information
Practice address
274 BATH AVE APT 12, LONG BRANCH, NJ 07740-6157
(732) 931-4633
Mailing address
274 BATH AVE APT 12, LONG BRANCH, NJ 07740-6157
(732) 861-0528
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
11/05/2024
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