Organization
TENDER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT TROY SANTOS (DIRECTOR OF OPERATIONS)
(201) 572-4893
Entity
Organization
Contact information
Practice address
149 MADISON ST, DOVER, NJ 07801-4922
(973) 229-5255
Mailing address
934 STUYVESANT AVE, UNION, NJ 07083-6944
(201) 572-4893
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
11/03/2020
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