Individual provider · Type 1 NPI
Jeanine Marie Potenza
Respite Care · Hackensack, NJ
NPI number
1295258333
Active
Practice location
41 Fairmount Ave Apt 8B
Hackensack, NJ 07601-4747
Mailing address
PO Box 1122
Maywood, NJ 07607-7122
Other practice locations
- 20 Spring Valley Ave, Hackensack, NJ 07601-3801 · (201) 478-1547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Respite Care Primary | 385H00000X | 00375093 (NJ) |
Respite Care: Definition to come.
Another provider at this address
About NPI 1295258333
Jeanine Marie Potenza's National Provider Identifier is 1295258333, issued on Jul 20, 2017. The primary taxonomy on file is Respite Care (385H00000X), and the practice location is in Hackensack, NJ. The record was last updated on Mar 17, 2018.