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1023377611
MAXINE ROSEMARIE HARRIS
QUEENS VILLAGE, NY
NPI
1023377611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: NY 460234-1)
Enumeration Date
2012-05-16
Last Update Date
2012-05-16
Business Address
Miss MAXINE ROSEMARIE HARRIS
220-08 109 AVENUE
QUEENS VILLAGE, NY 11429
Phone number: 917-226-7249
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Mailing Address
Miss MAXINE ROSEMARIE HARRIS
22008 109TH AVE
QUEENS VILLAGE, NY 11429-2515
Phone number: 917-226-7249
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