Organization
SACRED HOME HEALTH CARE
Active
Parent organization
SACRED HOME HEALTH CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SACRED HOME HEALTH CARE, LLC
Authorized official
LYSSETE M CANO (DIRECTOR OF NURSING)
(973) 337-5676
Entity
Organization
Contact information
Practice address
510 S MAIN ST STE 110, FORKED RIVER, NJ 08731-4831
(609) 528-9510
Mailing address
96 MIDLAND AVE, KEARNY, NJ 07032-2717
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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