Organization
BRENTWOOD HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY COPELAND CEO (PRESIDENT)
(732) 219-7080
Entity
Organization
Contact information
Practice address
565 STATE ROUTE 35, SUITE 3B, RED BANK, NJ 07701-5047
(732) 219-7080
(732) 219-7063
Mailing address
565 STATE ROUTE 35, SUITE 3B, RED BANK, NJ 07701-5047
(732) 219-7080
(732) 219-7063
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0100200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6087701
—
NJ
Enumeration date
03/16/2007
Last updated
10/20/2014
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