| NPI | 1366204265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIA MANDEL Manager 718-382-4725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |