| NPI | 1124306063 |
|---|---|
| Former Legal Business Name | ST. NICHOLAS HUMAN SUPPORT CORP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROCHFORD Executive Director 718-388-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NY 0899L001) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2022-07-21 |