Healthcare Provider Details
I. General information
NPI: 1164042230
Provider Name (Legal Business Name): NECESSARY RESOURCES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/19/2020
Last Update Date: 04/19/2020
Certification Date: 04/19/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
130 US HIGHWAY 22 E FL 1
NORTH PLAINFIELD NJ
07060-3806
US
IV. Provider business mailing address
38 UNION ST # 2
JERSEY CITY NJ
07304-2738
US
V. Phone/Fax
- Phone: 908-540-0500
- Fax:
- Phone: 917-763-8124
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JODYANN
BLAGROVE
Title or Position: CEO
Credential:
Phone: 917-763-8124