Organization
HENLUCY HEALTH SYSTEM LLC
Active
Other names
Henlucy Health System LLC
Organization subpart
No
Provider details
NPI number
Authorized official
OLAPEMI OBOLANLE (PRESIDENT)
(862) 930-6688
Entity
Organization
Contact information
Practice address
68 GARSIDE ST, NEWARK, NJ 07104-1006
(862) 930-6688
(862) 930-6689
Mailing address
68 GARSIDE ST, NEWARK, NJ 07104-1006
(862) 930-6688
(862) 930-6689
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
331L00000X
Blood Bank
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
05/09/2016
Last updated
07/12/2023
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