Healthcare Provider Details

I. General information

NPI: 1629244736
Provider Name (Legal Business Name): DE CEE HOME HEALTH AID LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 05/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22-24 UNION AVE 2ND FLOOR
IRVINGTON NJ
07111
US

IV. Provider business mailing address

22-24 UNION AVE 2ND FLOOR
IRVINGTON NJ
07111
US

V. Phone/Fax

Practice location:
  • Phone: 201-563-8916
  • Fax:
Mailing address:
  • Phone: 201-563-8916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License NumberHP113700
License Number StateNJ

VIII. Authorized Official

Name: MR. UCHE IHE
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 201-563-8916