| NPI | 1912498783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVELISE MARCELLUS Owner 516-373-5586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 282E00000X Long Term Care Hospital |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2018-05-28 |