| NPI | 1417654229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE EWAN CONSTANTINE TRACEY Manager 845-494-6937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |