Healthcare Provider Details

I. General information

NPI: 1952353013
Provider Name (Legal Business Name): PRIORITY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 RUTGERS WAY
FREEHOLD NJ
07728-2992
US

IV. Provider business mailing address

84 RUTGERS WAY
FREEHOLD NJ
07728-2992
US

V. Phone/Fax

Practice location:
  • Phone: 732-495-4595
  • Fax:
Mailing address:
  • Phone: 732-495-4595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. FREDERICK MICHAEL DILL
Title or Position: CO-OWNER
Credential: COTA
Phone: 732-495-4595