Organization
LG HEALTHCARE DBA BAVA HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHISH LALL (PARTNER)
(716) 796-8439
Entity
Organization
Contact information
Practice address
411 HACKENSACK AVE STE 200, HACKENSACK, NJ 07601-6451
(716) 796-8439
Mailing address
411 HACKENSACK AVE STE 200, HACKENSACK, NJ 07601-6451
(716) 796-8439
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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