Professional Care Home Care Agency, Inc.
NPI #1083105175 in Fort Lee, New Jersey
Provider Information
- NPI Number
- 1083105175
- Entity Type
- Organization
- Organization Name
- Professional Care Home Care Agency, Inc.
- Primary Specialty
- Home Health
- Enumeration Date
- May 23, 2018
- Last Updated
- May 23, 2018
Practice Location
- Address
- 2050 CENTER AVE STE 318
- City
- Fort Lee
- State
- New Jersey
- ZIP Code
- 07024-4932
- Phone
- (347) 683-5773
Authorized Official
- Name
- MRS. NELLIE KRIVOSHEYEV
- Title
- PRESIDENT
- Phone
- (347) 683-5773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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