Organization
HOSPICE OF NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICH FOGLE (CFO)
(904) 493-6745
Entity
Organization
Contact information
Practice address
400 BROADACRES DR, FOURTH FLOOR, BLOOMFIELD, NJ 07003-3156
(973) 893-0818
(973) 893-9828
Mailing address
50 N LAURA ST, STE 1800, JACKSONVILLE, FL 32202-3664
(904) 493-6745
(904) 262-4804
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6506909
—
NJ
Enumeration date
07/27/2006
Last updated
09/13/2012
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