Organization
AUTHENTIC HOME HEALTH SERVICES INC
Active
Other names
Care Central
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO B BRIZUELA M.B.A (ADMINISTRATIVE DIRECTOR)
(201) 200-0935
Entity
Organization
Contact information
Practice address
176 MALLORY AVE, JERSEY CITY, NJ 07304-1218
(201) 200-0935
(201) 200-0935
Mailing address
176 MALLORY AVE, JERSEY CITY, NJ 07304-1218
(201) 200-0935
(201) 200-0935
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0101006690
NJ
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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