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Organization

LUNE HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CANDIDE PETIT PHAR (OWNER/CEO)
(917) 495-2450
Entity
Organization

Contact information

Practice address
514 MILLBURN AVE UNIT 1069, SHORT HILLS, NJ 07078-2508
(917) 495-2450
Mailing address
514 MILLBURN AVE UNIT 1069, SHORT HILLS, NJ 07078-2508
(917) 495-2450

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
01/15/2026
Last updated
01/15/2026
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