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Organization

AT HOME COMPANION CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALICE ELIZABETH JOHNIKEN (OWNER)
(856) 637-2201
Entity
Organization

Contact information

Practice address
339 N ROUTE 73 STE 6, BERLIN, NJ 08009-9707
(856) 637-2201
(609) 270-5636
Mailing address
339 N ROUTE 73 STE 6, BERLIN, NJ 08009-9707
(856) 637-2201
(609) 270-5636

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HP0161400
NJ

Other

Enumeration date
11/11/2012
Last updated
11/11/2012
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