NPI | 1194442046 |
---|---|
Entity Type | Organization |
Authorized Contact | BILIKISU ADEKANBI Owner 646-318-4816 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 251F00000X Home Infusion |
310400000X Assisted Living Facility | |
Enumeration Date | 2022-10-21 |
Last Update Date | 2022-12-08 |