| NPI | 1164108312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE RUTH BRENNER Owner 631-901-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-26 |