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General NPI Number Information
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NPI Number | 1568130458
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Entity Type | Organization
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Legal Business Name | FAMILYWAY HOMECARE INC
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 06/22/2025
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Provider Practice Location Address
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Address Line | 1 PINEHILL CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3591
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Country | US
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Telephone | 201-361-5646
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Fax | 201-514-0603
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Provider Business Mailing Address
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Address Line | 104 ALEXANDER AVE
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City | MONTCLAIR
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State | NJ
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Zip | 07043-2619
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Country | US
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Telephone | 718-662-8892
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Fax | 347-240-7031
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Authorized Official
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Title or Position | PRESIDENT
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Name | DREW OBADIARU
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Credential |
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Telephone | 201-361-5646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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