Healthcare Provider Details
I. General information
NPI: 1912824723
Provider Name (Legal Business Name): SLUEUE PERSONAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9 HOMESTEAD DR
PEMBERTON NJ
08068-1570
US
IV. Provider business mailing address
9 HOMESTEAD DR
PEMBERTON NJ
08068-1570
US
V. Phone/Fax
- Phone: 609-795-6021
- Fax:
- Phone: 609-795-6021
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOAN
MAIME
JONES
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 609-795-6021