Provider Demographics
NPI:1063959252
Name:DEBRA CARE INC
Entity type:Organization
Organization Name:DEBRA CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEVORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SZANZER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:732-886-8070
Mailing Address - Street 1:6 DEBRA WAY
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2965
Mailing Address - Country:US
Mailing Address - Phone:732-886-8070
Mailing Address - Fax:732-901-5191
Practice Address - Street 1:6 DEBRA WAY
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2965
Practice Address - Country:US
Practice Address - Phone:732-886-8070
Practice Address - Fax:732-901-5191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty