National Provider Identifier Database

DELORES HEARTLLC
Respite Care


Contact Information

DELORES HEART,LLC
DELORES HEART
17 DODD ST. STE A5
BLOOMFIELD, NJ07003
Phone:
Fax:
Website:
Specialty Taxonomy Code
* Respite Care 385H00000X

* Indicates primary specialty

NPI Profile & details for DELORES HEART,LLC

NPI Number 1316560501
Legal business name
LBN
DELORES HEART,LLC
Authorized official ANTONIO PHILLIPS - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/21/2020
Last updated 05/21/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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