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Organization
MANDISA HALL
Active
Organization
MANDISA HALL
Active
Other names
Pioneer Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MANDISA JANET HALL REGISTERED NURSE (REGISTERED NURSE)
(718) 235-1340
Entity
Organization
Contact information
Practice address
511 CLEVELAND ST, BROOKLYN, NY 11208-2119
(718) 235-1340
Mailing address
511 CLEVELAND ST, BROOKLYN, NY 11208-2119
(718) 235-1340
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
666542
NY
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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