Organization
SUPPORTIVE HOUSING OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY C GRAY-WALKER (CEO)
(908) 209-1193
Entity
Organization
Contact information
Practice address
1355 MARTINE AVE, PLAINFIELD, NJ 07060-3127
(908) 209-1193
Mailing address
150 MAPLE AVE STE 141, SOUTH PLAINFIELD, NJ 07080-3407
(908) 209-1193
(908) 753-4327
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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