Healthcare Provider Details
I. General information
NPI: 1265655880
Provider Name (Legal Business Name): BETTER AT HOME MEDICAL CARE SERVICE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
32 LITTLEWORTH ROAD
MANAHAWKIN NJ
08050
US
IV. Provider business mailing address
32 LITTLEWORTH ROAD
MANAHAWKIN NJ
08050
US
V. Phone/Fax
- Phone: 609-597-0018
- Fax:
- Phone: 609-597-0018
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207PH0002X |
| Taxonomy | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| License Number | MB63511 |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
MELINDA
LEE
BOYE-NOLAN
Title or Position: OWNER
Credential: D.O.
Phone: 609-597-0018