Basic Information
| Provider Information | |||||||||
| NPI: | 1558751040 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SECURA HOME HEALTH LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 611 ROUTE 46 WEST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | HASBROUCK HEIGHTS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076043118 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2014039300 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2 E BLACKWELL ST | ||||||||
| Address2: | |||||||||
| City: | DOVER | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 078014645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2014039300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/04/2015 | ||||||||
| LastUpdateDate: | 02/04/2015 | ||||||||
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| AuthorizedOfficialLastName: | LODATO | ||||||||
| AuthorizedOfficialFirstName: | DONNA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2014039300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | Y | Agencies | Home Health |
No ID Information.