Provider Demographics
NPI:1659962488
Name:HALO TWO LLC
Entity Type:Organization
Organization Name:HALO TWO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANCUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-277-7855
Mailing Address - Street 1:160 S PITNEY RD UNIT 1A
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9643
Mailing Address - Country:US
Mailing Address - Phone:609-277-7855
Mailing Address - Fax:609-277-7854
Practice Address - Street 1:160 S PITNEY RD UNIT 1A
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9643
Practice Address - Country:US
Practice Address - Phone:609-277-7855
Practice Address - Fax:609-277-7854
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMFORT KEEPERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-03
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health