Organization
C&C CARE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA C ROQUE H.H.A. (HOMEMAKER)
(201) 313-6854
Entity
Organization
Contact information
Practice address
220 64TH ST APT 12, WEST NEW YORK, NJ 07093-3079
(201) 313-6854
Mailing address
220 64TH ST APT 12, WEST NEW YORK, NJ 07093-3079
(201) 313-6854
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
26NH05202200
NJ
Other
Enumeration date
03/21/2009
Last updated
03/21/2009
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