Provider Demographics
NPI:1881464170
Name:CUDDLECARE FC
Entity type:Organization
Organization Name:CUDDLECARE FC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NOSSON
Authorized Official - Middle Name:
Authorized Official - Last Name:CENSOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-261-2920
Mailing Address - Street 1:1321 GEORGIAN TER
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1641
Mailing Address - Country:US
Mailing Address - Phone:848-261-2920
Mailing Address - Fax:
Practice Address - Street 1:47 BRADHURST AVE # A
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-6135
Practice Address - Country:US
Practice Address - Phone:848-261-2920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty