| NPI | 1871635987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETTLY DERIVAL Clinical Director 516-204-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NY C693L001) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2015-11-04 |