Organization
SOPHISTICATED VENTURES LLC
Active
Other names
Advanced Senior Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
ADELINE RUSSULLE (ADMINISTRATOR)
(609) 369-6425
Entity
Organization
Contact information
Practice address
197 NJ-18 SOUTH SUITE 3000, EAST BRUNSWICK, NJ 08816
(609) 369-6425
Mailing address
197 NJ-18 SOUTH SUITE 3000, EAST BRUNSWICK, NJ 08816
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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