| NPI | 1164788089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL KUDERA Member 646-998-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 251T00000X PACE Provider Organization | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-07-24 |