Organization
FK'S&R LLC
Active
Other names
FK'S&R LLC, FK'S&R LLC/Dot Dot Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
FAY CORRINE WILTSHIRE (MANAGER)
(973) 978-0693
Entity
Organization
Contact information
Practice address
393 SANFORD AVE, HILLSIDE, NJ 07205-2724
(973) 978-0693
Mailing address
393 SANFORD AVE, HILLSIDE, NJ 07205-2724
(973) 978-0693
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP0299700
STATE LISCENSE
NJ
05
—
HP0299700
—
NJ
Enumeration date
10/20/2020
Last updated
10/20/2020
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