| NPI | 1174058085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY GEORGE Contracting & Credentialing Manager 516-461-2813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NJ HP0181808) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2023-12-07 |