Provider Demographics
NPI:1184284416
Name:BL CORE HEALTH CLINIC INC
Entity type:Organization
Organization Name:BL CORE HEALTH CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ESQUIVEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-397-4882
Mailing Address - Street 1:401 HOWE AVE APT A9
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-1925
Mailing Address - Country:US
Mailing Address - Phone:973-473-7200
Mailing Address - Fax:973-472-7300
Practice Address - Street 1:401 HOWE AVE APT A9
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-1925
Practice Address - Country:US
Practice Address - Phone:973-473-7200
Practice Address - Fax:973-472-7300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health