Provider Demographics
NPI:1851092209
Name:MEDISH CARE
Entity Type:Organization
Organization Name:MEDISH CARE
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTEH
Authorized Official - Suffix:SR
Authorized Official - Credentials:NJ
Authorized Official - Phone:732-666-8946
Mailing Address - Street 1:500 ADAMS LN APT 8G
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-2574
Mailing Address - Country:US
Mailing Address - Phone:732-666-8946
Mailing Address - Fax:
Practice Address - Street 1:500 ADAMS LN APT 8G
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-2574
Practice Address - Country:US
Practice Address - Phone:732-666-8946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based