Organization
MARTHA'S HEALTH AND HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEELAMMA ABRAHAM RN, MSN, APN (NP) (PRESIDENT)
(201) 225-0014
Entity
Organization
Contact information
Practice address
377 WILLARD ROAD, PARAMUS, NJ 07652-4628
(201) 225-0014
(201) 483-9261
Mailing address
377 WILLARD ROAD, PARAMUS, NJ 07652-4628
(201) 225-0014
(201) 483-9261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR10426500
NJ
251E00000X
Home Health Agency
HP0156000
NJ
363L00000X
Nurse Practitioner
Primary
26NJ00248200
NJ
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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