Organization
2ND HOME PASSAIC OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM OLLECH (COO)
(973) 395-0555
Entity
Organization
Contact information
Practice address
63 GROVE ST, PASSAIC, NJ 07055-5001
(973) 395-0555
(973) 395-0560
Mailing address
63 GROVE ST, PASSAIC, NJ 07055-5001
(973) 779-4228
(973) 779-4238
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2009
Last updated
05/14/2026
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