Provider Demographics
NPI:1780933275
Name:CARE GALAXY LLC
Entity type:Organization
Organization Name:CARE GALAXY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AYOADE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSTAPHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-314-8064
Mailing Address - Street 1:1800 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-2825
Mailing Address - Country:US
Mailing Address - Phone:856-314-8064
Mailing Address - Fax:
Practice Address - Street 1:1800 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-2825
Practice Address - Country:US
Practice Address - Phone:856-314-8064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health