| NPI | 1235797655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAO LI Administrator 718-475-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2024-03-04 |