Organization
2ND HOME ELIZABETH OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH GREENBAUM (PRESIDENT)
(973) 395-0555
Entity
Organization
Contact information
Practice address
432 N BROAD ST, ELIZABETH, NJ 07208-3365
(973) 395-0555
(973) 395-0560
Mailing address
37 N DAY ST, ORANGE, NJ 07050-3608
(973) 395-0555
(973) 395-0560
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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