| NPI | 1588314538 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KEVIN D MONTAG Owner 718-208-3327  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251E00000X Home Health | 
| Additional Taxonomies | 163W00000X Registered Nurse | 
| Enumeration Date | 2022-03-24 | 
| Last Update Date | 2023-05-10 |