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Organization

CUSTODIAL CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS PE (MANAGING OWNER)
(201) 721-6365
Entity
Organization

Contact information

Practice address
35 JOURNAL SQ, SUITE 624, JERSEY CITY, NJ 07306-4007
(201) 721-6365
(201) 721-6366
Mailing address
35 JOURNAL SQ, SUITE 624, JERSEY CITY, NJ 07306-4007
(201) 721-6365
(201) 721-6366

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0156600
NJ
251J00000X
Nursing Care Agency
HP0156600
NJ

Other

Enumeration date
06/20/2012
Last updated
06/20/2012
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