Organization
EXECUTIVE HOME CARE, LLC
Active
Other names
Excutive Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD VERKHOGLAZ (CEO)
(201) 489-4899
Entity
Organization
Contact information
Practice address
270 STATE ST, HACKENSACK, NJ 07601-5501
(201) 489-4899
(201) 489-5899
Mailing address
270 STATE ST, HACKENSACK, NJ 07601-5501
(201) 489-4899
(201) 489-5899
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0164600
NJ
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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