Healthcare Provider Details

I. General information

NPI: 1528775137
Provider Name (Legal Business Name): E & 3C'S ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2022
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

371 HOES LN STE 200
PISCATAWAY NJ
08854-4143
US

IV. Provider business mailing address

371 HOES LN STE 200
PISCATAWAY NJ
08854-4143
US

V. Phone/Fax

Practice location:
  • Phone: 732-524-8864
  • Fax: 732-873-5238
Mailing address:
  • Phone: 732-524-8864
  • Fax: 732-873-5238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. CONSTANCE RENEE PIZARRO
Title or Position: OWNER/PRESIDENT
Credential: CPD, CSA, CMDCP
Phone: 732-524-8864