Organization
ESSEX MEDICAL DAY CARE LLC
Active
Other names
Home Away From Home
Organization subpart
No
Provider details
NPI number
Authorized official
BAZHANA RUBIN (OWNER)
(973) 662-9191
Entity
Organization
Contact information
Practice address
263 HILLSIDE AVE, NUTLEY, NJ 07110-1180
(973) 662-9191
Mailing address
263 HILLSIDE AVE, NUTLEY, NJ 07110-1180
(973) 662-9191
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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