Provider Demographics
NPI:1619520780
Name:BALANCED LIFE HOME CARE SERVICES
Entity Type:Organization
Organization Name:BALANCED LIFE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:EMEJULU
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:908-627-4600
Mailing Address - Street 1:65 OLD HIGHWAY 22 STE 4
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-1329
Mailing Address - Country:US
Mailing Address - Phone:908-627-4600
Mailing Address - Fax:908-627-4602
Practice Address - Street 1:65 OLD HIGHWAY 22 STE 4
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1329
Practice Address - Country:US
Practice Address - Phone:908-627-4600
Practice Address - Fax:908-627-4602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health