Provider Demographics
NPI:1053553552
Name:BETTY NURSING SERVICES/HOME CARE INC.
Entity type:Organization
Organization Name:BETTY NURSING SERVICES/HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:I
Authorized Official - Last Name:ONYEAHARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-567-1044
Mailing Address - Street 1:101 W PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2635
Mailing Address - Country:US
Mailing Address - Phone:201-567-1044
Mailing Address - Fax:201-567-2201
Practice Address - Street 1:101 W PALISADE AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2635
Practice Address - Country:US
Practice Address - Phone:201-567-1044
Practice Address - Fax:201-567-2201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0066100311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home