| NPI | 1407355811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENA M BAILEY Administrator 516-358-1999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NY 9310L001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 9310L001) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |