Provider Demographics
NPI:1891962122
Name:EXECUTIVE PROFESSIONAL OUTSOURCING LLC
Entity Type:Organization
Organization Name:EXECUTIVE PROFESSIONAL OUTSOURCING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-851-4127
Mailing Address - Street 1:348 ROUTE 9
Mailing Address - Street 2:SUITE D
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-9604
Mailing Address - Country:US
Mailing Address - Phone:732-851-4127
Mailing Address - Fax:
Practice Address - Street 1:348 ROUTE 9
Practice Address - Street 2:SUITE D
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-9604
Practice Address - Country:US
Practice Address - Phone:732-851-4127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No251S00000XAgenciesCommunity/Behavioral Health