Provider Demographics
NPI:1669639795
Name:PREFERRED HEALTH MATES LLC
Entity Type:Organization
Organization Name:PREFERRED HEALTH MATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR ACCOUNTS RECEIVABLE
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-840-5566
Mailing Address - Street 1:16000 HORIZON WAY
Mailing Address - Street 2:SUITE 700
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16000 HORIZON WAY
Practice Address - Street 2:SUITE 700
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054
Practice Address - Country:US
Practice Address - Phone:856-273-1312
Practice Address - Fax:856-273-9401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0250500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health