Provider Demographics
NPI:1396388617
Name:MARY'S LOVING CARE STAFFING,
Entity Type:Organization
Organization Name:MARY'S LOVING CARE STAFFING,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-470-5355
Mailing Address - Street 1:85 MAIN ST STE 303
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-7100
Mailing Address - Country:US
Mailing Address - Phone:201-470-5355
Mailing Address - Fax:201-488-0088
Practice Address - Street 1:85 MAIN ST STE 303
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-7100
Practice Address - Country:US
Practice Address - Phone:201-470-5355
Practice Address - Fax:201-488-0088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care