Organization
KD HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIJATU BANGURA LPN (ADMINISTRATOR)
(908) 578-0049
Entity
Organization
Contact information
Practice address
1 TOWER CENTER BLVD STE 1510-06, EAST BRUNSWICK, NJ 08816-1145
(848) 283-7110
Mailing address
1 TOWER CENTER BLVD STE 1510-06, EAST BRUNSWICK, NJ 08816-1145
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
11/18/2024
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