| NPI | 1457562811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARDUKHAYEVA Administrator 917-673-7541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NY 1192L001) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2011-12-23 |