Organization
NEW LIFE HEALTH CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR KHAN (CEO)
(856) 843-5433
Entity
Organization
Contact information
Practice address
1 W PARK AVENUE, MERCHANTVILLE, NJ 08109
(856) 843-5433
Mailing address
42 CROOKED LN, CHERRY HILL, NJ 08034-1129
(856) 535-4100
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500763
—
NJ
Enumeration date
06/08/2022
Last updated
07/30/2024
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