Provider Demographics
NPI:1083985709
Name:CATHOLIC CHARITIES95031
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES95031
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPPORT SERVICE COORDINTAOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANACY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-639-5031
Mailing Address - Street 1:371 N 11TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07107-1834
Mailing Address - Country:US
Mailing Address - Phone:609-816-1956
Mailing Address - Fax:973-266-7970
Practice Address - Street 1:37 EVERGREEN PL
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2154
Practice Address - Country:US
Practice Address - Phone:973-220-6514
Practice Address - Fax:973-266-7970
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLI CAHRITIES OF THE ARCH DIOCES OF NEWARK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care