Imperial Support Coordination
NPI #1235861451 in Watchung, New Jersey
Provider Information
- NPI Number
- 1235861451
- Entity Type
- Organization
- Organization Name
- Imperial Support Coordination
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Jun 27, 2022
- Last Updated
- Jun 27, 2022
Practice Location
- Address
- 183 JOHNSTON DR
- City
- Watchung
- State
- New Jersey
- ZIP Code
- 07069-4927
- Phone
- (347) 595-3597
Authorized Official
- Name
- RAPHAEL KUKUBOR
- Title
- PRESIDENT
- Phone
- (347) 595-3597
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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