Provider Demographics
NPI:1316420912
Name:ILOSKI ADULT HOME CARE INC
Entity type:Organization
Organization Name:ILOSKI ADULT HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:SUZANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ILOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-757-4743
Mailing Address - Street 1:172 FREDERICK ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-1704
Mailing Address - Country:US
Mailing Address - Phone:201-757-4743
Mailing Address - Fax:973-894-3593
Practice Address - Street 1:172 FREDERICK ST
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-1704
Practice Address - Country:US
Practice Address - Phone:201-757-4743
Practice Address - Fax:973-894-3593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health