Organization
2ND HOME NEWARK OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH GREENBAUM (PRESIDENT)
(917) 295-3617
Entity
Organization
Contact information
Practice address
727 BROADWAY, NEWARK, NJ 07104-3401
(917) 295-3617
Mailing address
37 N DAY ST, ORANGE, NJ 07050-3608
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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