| NPI | 1679077143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL ABOAGYE Administrator 631-522-1911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: NY 21561L001) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |