Extended Optimum Medical Services LLC
NPI #1508197799 in Raritan, New Jersey
Provider Information
- NPI Number
- 1508197799
- Entity Type
- Organization
- Organization Name
- Extended Optimum Medical Services LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Jan 27, 2010
- Last Updated
- Feb 25, 2010
Practice Location
- Address
- 1130 ROUTE 202
- Address 2
- SUITE #6 BLDG E
- City
- Raritan
- State
- New Jersey
- ZIP Code
- 08869-1490
- Phone
- (908) 644-2650
Authorized Official
- Name
- MISS TAWANA LAE GRACE
- Title
- OWNER
- Phone
- (908) 644-2650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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