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Organization
COTTAGE HOMECARE, SERVICES, INC
Active
Organization
COTTAGE HOMECARE, SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH VILLANI RPH (PRESIDENT)
(516) 367-2266
Entity
Organization
Contact information
Practice address
25 NEWBRIDGE RD STE 302, HICKSVILLE, NY 11801-2887
(516) 367-2266
(516) 367-1067
Mailing address
25 NEWBRIDGE RD STE 302, HICKSVILLE, NY 11801-2887
(516) 367-2266
(516) 367-1067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9239L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01352221
—
NY
05
—
01357744
—
NY
05
—
01361531
—
NY
Enumeration date
01/24/2007
Last updated
09/05/2012
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