NPI 1063432672

Coram Alternate Site Services INC

Organisation Home Infusion Agency Fairfield, NJ

Practice location

Address: 180 Passaic Ave, Fairfield, NJ 07004-3516
Phone: (973) 756-5963
Mailing address: PO Box 809160, Chicago, IL 60680-9160

Authorised official

Name: Tricia Lacavich
Title: President
Phone: (314) 306-3255

Registered specialties (2)

Home Infusion Agency Primary

Agencies Taxonomy 251F00000X Licence HP0218401 (NJ)

Other Home Infusion providers in New Jersey →

Home Health Agency

Agencies Taxonomy 251E00000X Licence HP0218401 (NJ)

Other Home Health providers in New Jersey →

Registry record

NPI: 1063432672
Entity type: Organization
NPI issued: 20 Jul 2006
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.