Provider Demographics
NPI:1619322146
Name:MC PROPERTIES
Entity Type:Organization
Organization Name:MC PROPERTIES
Other - Org Name:NA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CUDJOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-481-2200
Mailing Address - Street 1:295 ROSEVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07107-1703
Mailing Address - Country:US
Mailing Address - Phone:973-481-2200
Mailing Address - Fax:973-481-3200
Practice Address - Street 1:81 UNION AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3248
Practice Address - Country:US
Practice Address - Phone:973-481-2200
Practice Address - Fax:973-481-3200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care