# PLATINUM HOME HEATLH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164853321
- **Authorized official:** MRS. KIM ANN BREIHOF R.N. (REGISTERED NURSE)
- **Authorized official phone:** (845) 482-2238

## Contact information

- **Practice address:** 63 JEFFERSON AVE., JEFFERSONVILLE, NY 12748
- **Practice address phone:** (845) 482-2238
- **Mailing address:** PO BOX 136, JEFFERSONVILLE, NY 12748-0136
- **Mailing address phone:** (845) 482-2238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 416454 | NY | Yes |

## Other

- **Enumeration date:** 12/12/2013
- **Last updated:** 12/12/2013