SHINING LEAF IPA, LLC

BROOKLYN, NY
NPI1083023501
Entity TypeOrganization
Authorized ContactJENI WALLACE
Vice President Of Operations
718-269-4888
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2014-08-08
Last Update Date2014-08-08
Business Address
SHINING LEAF IPA, LLC
2900 BRAGG ST
BROOKLYN, NY 11235-1144
Phone number: 718-268-4888
Mailing Address
SHINING LEAF IPA, LLC
2900 BRAGG ST
BROOKLYN, NY 11235-1144
Phone number: 718-268-4888
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