# NURSE CARE SERVICE FOR THE YOUNG @ HEART

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

## Provider details

- **NPI number:** 1194918805
- **Authorized official:** MRS. BERNADETTE ROGERS NURSE (LPN)
- **Authorized official phone:** (718) 588-0759

## Contact information

- **Practice address:** 1050 CARROLL PL APT 2K, BRONX, NY 10456-5749
- **Practice address phone:** (718) 588-0759
- **Mailing address:** 1050 CARROLL PL APT 2K, BRONX, NY 10456-5749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 275662 | NY | Yes |

## Other

- **Enumeration date:** 08/26/2007
- **Last updated:** 09/10/2007