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NPI Code Detail

MEDICARE: 3256 HOLDINGS CO

MEDICARE: 3256 HOLDINGS CO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224ZE0001XEnvironmental Modification Occupational Therapy Assistant

General Provider Information

NPI Number : 1669206868
Entity Type Code : Organization
Provider Name (Legal Business Name) : 3256 HOLDINGS CO
Provider Business Mailing Address
First Line : PO BOX 22967
Second Line :
City : NEWARK
State : NJ
Zip : 07101-2481
Country : US
Telephone Number : 862-236-8691
Fax Number :
Provider Business Practice Location Address
First Line : 37 IRVING AVE FL 2
Second Line :
City : NEWARK
State : NJ
Zip : 07112-1877
Country : US
Telephone Number : 862-236-8691
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. SULAIMUN B JENKINS
Credential :
Telephone Number : 862-236-8691
Provider Enumeration Date : 08/29/2024
Last Update Date : 08/29/2024

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Directions to “3256 HOLDINGS CO ” Practice Location

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