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Organization
DETTY HOME CARE SERVICE
Active
Organization
DETTY HOME CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE JEAN-LOUIS RN (DIRECTOR OF PATIENT SERVICES)
(646) 474-6238
Entity
Organization
Contact information
Practice address
13935 228TH ST, LAURELTON, NY 11413-2946
(646) 474-6238
Mailing address
13935 228TH ST, LAURELTON, NY 11413-2946
(646) 474-6238
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
298826L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558804955
—
NY
Enumeration date
02/09/2017
Last updated
02/09/2017
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