| NPI | 1952668436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA RAFAILOVA Director 917-498-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2016-11-10 |