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Homeside Hospice, Llc
Community Based Hospice Care Agency in Clark, New Jersey
NPI 1194787366

Homeside Hospice, Llc is a Community Based Hospice Care Agency based in Clark, NJ. Homeside Hospice, Llc practices in Clark, NJ. The NPI Number for Homeside Hospice, Llc is 1194787366 and holds a License No. 23391 (New Jersey).

The current practice location address for Homeside Hospice, Llc is 67 Walnut Avenue, Clark, NJ and can be reached out via phone at 732-381-3444 and via fax at 732-381-3445.

Location: 67 Walnut Avenue, Clark, NJ, 07066-3444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194787366
Provider Name
Homeside Hospice, Llc
Credential
Provider Entity Type
Organization
Address
67 Walnut Avenue, Clark, NJ, 07066-3444
Phone Number
732-381-3444
Fax Number
732-381-3445
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23391 01 NJ DEPT OF HEALTH LICENSE #
0086436 05 NJ
institution
Provider Business Practice Location Address Details
Address
67 Walnut Avenue
City
Clark
State
New Jersey
Zip
07066-3444
Phone Number
732-381-3444
Fax Number
732-381-3445
person
Provider Business Mailing Address Details
Address
67 Walnut Avenue
City
Clark
State
New Jersey
Zip
07066-3444
Phone Number
732-381-3444
Fax Number
732-381-3445
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
23391 (New Jersey)
Definition
Definition to come...
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