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Coram Alternate Site Services Inc
Home Infusion Agency in Fairfield, New Jersey
NPI 1063432672

Coram Alternate Site Services Inc is a Home Infusion Agency based in Chicago, NJ. Coram Alternate Site Services Inc practices in Fairfield, NJ. The NPI Number for Coram Alternate Site Services Inc is 1063432672 and holds a License No. HP0218401 (New Jersey).

The current practice location address for Coram Alternate Site Services Inc is 180 Passaic Ave, Fairfield, NJ and can be reached out via phone at 973-756-5963. You can also correspond with Coram Alternate Site Services Inc through the mailing address at PO BOX 809160, CHICAGO, IL - 60680-9160 (mailing address contact number: 303-672-8631).

Location: 180 Passaic Ave, Fairfield, NJ, 60680-9160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063432672
Provider Name
Coram Alternate Site Services Inc
Credential
Provider Entity Type
Organization
Address
180 Passaic Ave, Fairfield, NJ, 60680-9160
Phone Number
973-756-5963
Fax Number
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
28RS00527400 01 NJ RX LICENSE
3137064 01 NCPDP
institution
Provider Business Practice Location Address Details
Address
180 Passaic Ave
City
Fairfield
State
New Jersey
Zip
07004-3516
Phone Number
973-756-5963
Fax Number
person
Provider Business Mailing Address Details
Address
180 Passaic Ave
City
Fairfield
State
New Jersey
Zip
07004-3516
Phone Number
973-756-5963
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
HP0218401 (New Jersey)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Infusion
Speciality
-
Taxonomy
251F00000X
License No.
HP0218401 (New Jersey)
Definition
Definition to come...
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