Tristate Health And Homecare Agency, Inc.
Legal Business Name
Tristate Health And Homecare Agency, Inc.
NPI Number
1174025183
NPI Type
Organization
Enumeration Date
03/06/2018
Specialties
(Taxonomies)Name
Code
385HR2060X
385HR2055X
251G00000X
251C00000X
251E00000X
251F00000X
253Z00000X
251J00000X
385H00000X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Licenses
State
New Jersey
License Number
HP0056000
Contact
Information
Purpose
Mailing
Location
Address
251 OSBORNE TER
251 OSBORNE TER
City
Newark
Newark
State
NJ
NJ
Postal Code
07112-2103
07112-2103
Country
US
US
Telephone Number
N/A
(973) 923-8887
Authorized Official
Name
Abiola Agboola
Title or Position
CEO
Telephone Number
(347) 276-1280
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/24/2021