Organization
CLAREMONT MEDICAL AND REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIUS ESSILFIE-OBENG (PRESIDENT AND CEO)
(973) 673-2300
Entity
Organization
Contact information
Practice address
134 EVERGREEN PLACE, SUITE 404, EAST ORANGE, NJ 07018
(973) 673-2300
(973) 673-2295
Mailing address
134 EVERGREEN PLACE, SUITE 404, EAST ORANGE, NJ 07018
(973) 673-2300
(973) 673-2295
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HP0020400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000173217
ANCILLARY SERVICE PROVIDE
NJ
05
—
0011045
—
NJ
05
—
0254541
—
NJ
05
—
9130101
—
NJ
Enumeration date
03/19/2007
Last updated
12/16/2016
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