Provider Demographics
NPI:1497363352
Name:GENTLE GLOVE HOME HEALTHCARE AGENCY
Entity Type:Organization
Organization Name:GENTLE GLOVE HOME HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:SONA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:856-982-0509
Mailing Address - Street 1:14 E MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-3804
Mailing Address - Country:US
Mailing Address - Phone:856-982-0509
Mailing Address - Fax:
Practice Address - Street 1:14 E MULBERRY ST
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-3804
Practice Address - Country:US
Practice Address - Phone:856-982-0509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health