Organization
NJ GOLDEN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HATEM ABDELAZIA (OWNER)
(973) 390-8768
Entity
Organization
Contact information
Practice address
46 MAIN ST STE 108, SPARTA, NJ 07871-1910
(908) 469-5720
Mailing address
46 MAIN ST STE 108, SPARTA, NJ 07871-1910
(908) 469-5720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0547166
—
NJ
Enumeration date
04/11/2017
Last updated
04/11/2017
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