Provider Demographics
NPI:1063916245
Name:ESSENTIAL COORDINATED SERVICES LLC
Entity type:Organization
Organization Name:ESSENTIAL COORDINATED SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY MAORE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-499-9051
Mailing Address - Street 1:813 JAQUES AVE
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-3824
Mailing Address - Country:US
Mailing Address - Phone:732-499-9051
Mailing Address - Fax:
Practice Address - Street 1:813 JAQUES AVE
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-3824
Practice Address - Country:US
Practice Address - Phone:732-499-9051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management