Healthcare Provider Details

I. General information

NPI: 1205302494
Provider Name (Legal Business Name): TOP CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2018
Last Update Date: 10/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 ARLINGTON AVE
CLIFFWOOD NJ
07721-1004
US

IV. Provider business mailing address

220 ARLINGTON AVE
CLIFFWOOD NJ
07721-1004
US

V. Phone/Fax

Practice location:
  • Phone: 609-713-5302
  • Fax:
Mailing address:
  • Phone: 609-713-5302
  • Fax: 732-970-6820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. ADENIKE OLA
Title or Position: CO-OWNER
Credential: RN
Phone: 609-713-5302