| NPI | 1710420666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MELANIE GIBSON Special Education Teacher 646-807-6403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NY 1132031) |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2016-11-27 |