Organization
BOARDWALK HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENDAN THOMAS SULLIVAN (PRESIDENT)
(732) 361-7901
Entity
Organization
Contact information
Practice address
1706 STATE ROUTE 33, SUITE 3, NEPTUNE, NJ 07753-4908
(732) 361-7901
(732) 807-3104
Mailing address
1706 STATE ROUTE 33, SUITE 3, NEPTUNE, NJ 07753-4908
(732) 361-7901
(732) 807-3104
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0089600
NJ
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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