| NPI | 1487989901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLET E SAMUELS Administrative Director 718-977-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 9075L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 9075L) |
| 374U00000X Home Health Aide (Licence: NY 9075L) | |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |