Organization
FIRSTLIGHT HOMECARE OF EASTERN MONMOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANIA MALLON (OWNER)
(732) 391-1740
Entity
Organization
Contact information
Practice address
18 KINGS HWY STE 102, MIDDLETOWN, NJ 07748-2509
(732) 391-1740
Mailing address
18 KINGS HWY STE 102, MIDDLETOWN, NJ 07748-2509
(732) 391-1740
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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