Provider Demographics
NPI:1083372536
Name:FOR YOU HEALTHCARE
Entity Type:Organization
Organization Name:FOR YOU HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TANISE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRICOCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-388-9777
Mailing Address - Street 1:34B HOPEWELL LN
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-2539
Mailing Address - Country:US
Mailing Address - Phone:856-388-9777
Mailing Address - Fax:
Practice Address - Street 1:34B HOPEWELL LN
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-2539
Practice Address - Country:US
Practice Address - Phone:856-388-9777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity HealthGroup - Single Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1952067290OtherNPI