| NPI | 1710308309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELWYN H MARAKACHERRY Owner 516-250-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2013-12-27 |