Organization
PASSAIC HEALTHCARE SERVICES, LLC
Active
Other names
AllCare Medical
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY GRANAT (CHIEF OPERATIONS OFFICER)
(800) 244-4660
Entity
Organization
Contact information
Practice address
255 COX ST, ROSELLE, NJ 07203-1703
(800) 244-4660
(866) 511-0294
Mailing address
125 NEWTOWN RD, SUITE 300, PLAINVIEW, NY 11803-4314
(800) 244-4660
(866) 511-0294
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
11/18/2011
Last updated
12/13/2012
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