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Organization

JNJ HOME HEALTH AIDE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH BAZELAIS BIOLOGIST (CEO)
(718) 377-3201
Entity
Organization

Contact information

Practice address
5223 AVENUE N, BROOKLYN, NY 11234-3907
(718) 377-3201
Mailing address
5223 AVENUE N, BROOKLYN, NY 11234-3907
(718) 377-3201

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0875L001
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02077085
NY
Enumeration date
01/19/2008
Last updated
06/18/2008
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