| NPI | 1730851858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREMLIN DEKYI Owner/Cmo 917-428-8463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QU0200X Clinic/Center Urgent Care | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-09-20 |