NPI | 1215262936 |
---|---|
Entity Type | Organization |
Authorized Contact | VERTISSHA L WOODS-THOMAS Owner/Adminstrator 631-390-8646 |
Organization Subpart ? | No |
Primary Taxonomy | 251J00000X Nursing Care (Licence: NY 1621l001) |
Additional Taxonomies | 251E00000X Home Health (Licence: NY 1621l001) |
Enumeration Date | 2009-10-14 |
Last Update Date | 2012-04-26 |