Organization
EXECUTIVE HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIRVELYNE JEAN-SIMON (CO-OWNER)
(732) 534-7871
Entity
Organization
Contact information
Practice address
17 N HOPE CHAPEL RD, JACKSON, NJ 08527
(732) 534-7871
Mailing address
17 N HOPE CHAPEL RD, JACKSON, NJ 08527
(732) 534-7871
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0450022464
NJ
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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