Organization
COMMUNITY CARE AGENCY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUNG HOANG NGUYEN (VP OF OPERATION)
(856) 665-7002
Entity
Organization
Contact information
Practice address
900 KINGS HWY N, SUITE# 210, CHERRY HILL, NJ 08034-1516
(856) 665-7002
(856) 665-7009
Mailing address
900 KINGS HWY N, SUITE# 210, CHERRY HILL, NJ 08034-1516
(856) 665-7002
(856) 665-7009
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114537
—
NJ
Enumeration date
03/09/2007
Last updated
01/11/2016
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