Organization
KHALEIDOSCOPE HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY M. ALI BLAKE JR. (CEO)
(201) 451-5425
Entity
Organization
Contact information
Practice address
127 LAFAYETTE ST, JERSEY CITY, NJ 07304-3615
(201) 451-5425
(201) 451-7499
Mailing address
127 LAFAYETTE ST, JERSEY CITY, NJ 07304-3615
(201) 451-5425
(201) 451-7499
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2000361
NJ
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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