Provider Demographics
NPI:1427889583
Name:TOBEC COMMUNITY SUPPORTS LLC
Entity type:Organization
Organization Name:TOBEC COMMUNITY SUPPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TOMILOLA
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:OGUNDARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-393-4556
Mailing Address - Street 1:388 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-1923
Mailing Address - Country:US
Mailing Address - Phone:973-393-4656
Mailing Address - Fax:
Practice Address - Street 1:388 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-1923
Practice Address - Country:US
Practice Address - Phone:973-393-4656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care