| NPI | 1851147433 |
|---|---|
| Doing Business As | CONEY ISLAND HOMECARE SOUTH DAKOTA |
| Entity Type | Organization |
| Authorized Contact | SHARON A PEART CEO 719-517-6905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |