Healthcare Provider Details

I. General information

NPI: 1750174504
Provider Name (Legal Business Name): CONSCIENTIOUSPRO CLEANING CTP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 SUSSEX DR
WILLINGBORO NJ
08046-1407
US

IV. Provider business mailing address

79 SUSSEX DR
WILLINGBORO NJ
08046-1407
US

V. Phone/Fax

Practice location:
  • Phone: 609-676-0599
  • Fax:
Mailing address:
  • Phone: 609-676-0599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. ELIAM N DARIUS
Title or Position: OWNER
Credential:
Phone: 609-676-0599