Organization
CUSTODIAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS PE (MANAGING OWNER)
(732) 753-9888
Entity
Organization
Contact information
Practice address
980 US HIGHWAY 9, SUITE C, 2ND FLOOR, SOUTH AMBOY, NJ 08879-3320
(732) 753-9888
(732) 753-9889
Mailing address
980 US HIGHWAY 9, SUITE C, 2ND FLOOR, SOUTH AMBOY, NJ 08879-3320
(732) 753-9888
(732) 753-9889
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0156600
NJ
251J00000X
Nursing Care Agency
HP0156600
NJ
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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