Organization
ACTIVE CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MULINDWA (PRESIDENT)
(718) 354-7863
Entity
Organization
Contact information
Practice address
300 BELLANCA RD, BRICK, NJ 08723-6877
(732) 862-7962
Mailing address
300 BELLANCA RD, BRICK, NJ 08723-6877
(732) 862-7962
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HP0267300
NJ
Other
Enumeration date
10/15/2017
Last updated
01/13/2020
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