| NPI | 1376186825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA D BUCKLES Owner 516-580-6739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |