Provider Demographics
NPI:1841948726
Name:ACT NEJ SERVICES LLC
Entity type:Organization
Organization Name:ACT NEJ SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ARGONZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-260-6620
Mailing Address - Street 1:73137 SOMERA RD
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-6036
Mailing Address - Country:US
Mailing Address - Phone:909-260-6620
Mailing Address - Fax:909-494-4080
Practice Address - Street 1:73137 SOMERA RD
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-6036
Practice Address - Country:US
Practice Address - Phone:909-260-6620
Practice Address - Fax:909-494-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care