Provider Demographics
NPI:1962887729
Name:SENIOR SERVICE CARE OF HAMILTON
Entity type:Organization
Organization Name:SENIOR SERVICE CARE OF HAMILTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SIERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-902-5552
Mailing Address - Street 1:100 HORIZON CENTER BOULEVARD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08691
Mailing Address - Country:US
Mailing Address - Phone:609-902-5552
Mailing Address - Fax:609-257-6852
Practice Address - Street 1:100 HORIZON CENTER BOULEVARD
Practice Address - Street 2:SUITE 109
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08691
Practice Address - Country:US
Practice Address - Phone:609-902-5552
Practice Address - Fax:609-257-6852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0203400251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care