Organization
PRIVATE AID CONTRACTOR, LLC
Active
Other names
Private Aid Contractor, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAQUILO D BOTTINI (CEO)
(973) 955-9118
Entity
Organization
Contact information
Practice address
764 PALISADE AVE # 2B, TEANECK, NJ 07666-3129
(973) 955-9118
(201) 357-5478
Mailing address
764 PALISADE AVE # 2B, TEANECK, NJ 07666-3129
(973) 955-9118
(201) 357-5478
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
11/14/2022
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