Organization
A GREAT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIYONG KIM (OWNER/PRESIDENT)
(917) 882-9952
Entity
Organization
Contact information
Practice address
2500 LEMOINE AVE STE 301, FORT LEE, NJ 07024-6205
(201) 363-0244
Mailing address
2500 LEMOINE AVE STE 301, FORT LEE, NJ 07024-6205
(201) 363-0244
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
06/28/2022
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