| Blue Hope Supportive Care Llc | |
|
260 Nesbit Ter Irvington NJ 07111-1773 | |
| (973) 943-0720 | |
| Not Available |
| Full Name | Blue Hope Supportive Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 260 Nesbit Ter, Irvington, New Jersey |
| Authorized Official Name and Position | Sharmy Pierre-louis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9738489640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Hope Supportive Care Llc 260 Nesbit Ter Irvington NJ 07111-1773 Ph: (973) 868-9640 | Blue Hope Supportive Care Llc 260 Nesbit Ter Irvington NJ 07111-1773 Ph: (973) 943-0720 |
| NPI Number | 1629533427 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 10/05/2020 |
| Certification Date | 08/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629533427 | NPI | - | NPPES |
| 0409308 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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