| NPI | 1386141661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA KORNEYEVA Administrator 917-293-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NY 2546L001) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NY 2546L001) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |