Organization
FAMILY FIRST HOME CARE & COMPANIONSHIP SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADEGE THIMOTUS LPN (PRESIDENT/CEO)
(732) 900-0014
Entity
Organization
Contact information
Practice address
1139 E JERSEY ST, SUITE 504, ELIZABETH, NJ 07201-2473
(732) 900-0014
(732) 960-8607
Mailing address
1139 EAST JERSEY STREET, SUITE 504, ELIZABETH, NJ 07201
(732) 900-0014
(732) 960-8607
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
CF0440100
NJ
251S00000X
Community/Behavioral Health Agency
CF0440100
NJ
253Z00000X
In Home Supportive Care Agency
CF0440100
NJ
347C00000X
Private Vehicle
CF0440100
NJ
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
CF0440100
NJ
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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