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Organization
LARA BACK
Active
Organization
LARA BACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA BACK RN (REGISTERED NURSE)
(914) 420-0048
Entity
Organization
Contact information
Practice address
188 WOODSIDE AVE, WEST HARRISON, NY 10604-2002
(914) 420-0048
Mailing address
188 WOODSIDE AVE, WEST HARRISON, NY 10604-2002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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