| NPI | 1811074362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | O'DELL HOLLAND Program Director 718-239-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NY 9626L001) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NY 9626L001) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |