Organization
DEDICATED HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CHARLES PICCIRILLO (OWNER)
(973) 876-4921
Entity
Organization
Contact information
Practice address
14 DEBAUN AVE, WEST CALDWELL, NJ 07006-7111
(973) 876-4921
(973) 575-9273
Mailing address
14 DEBAUN AVE, WEST CALDWELL, NJ 07006-7111
(973) 876-4921
(973) 575-9273
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HP0235200
NJ
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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